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Organization
LOYD'S LIBERTY HOMES, INC
Active
Organization
LOYD'S LIBERTY HOMES, INC
Active
Parent organization
THE MENTOR NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MENTOR NETWORK
Authorized official
NANCY BARGMANN (VICE PRESIDENT)
(909) 483-2505
Entity
Organization
Contact information
Practice address
7053 N CARNEGIE AVE, FRESNO, CA 93722-2817
(559) 451-0399
Mailing address
3649 W BEECHWOOD AVE, STE 106, FRESNO, CA 93711-0693
(559) 451-0399
(559) 451-0345
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
040000495
CA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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