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Organization
SIERRA VISTA RESIDENTIAL CARE HOME,INC
Active
Organization
SIERRA VISTA RESIDENTIAL CARE HOME,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN L KEMPF (VICE PRESIDENT)
(559) 747-0399
Entity
Organization
Contact information
Practice address
782 N SHASTA AVE, FARMERSVILLE, CA 93223-1148
(559) 747-0399
(559) 747-0604
Mailing address
782 N SHASTA AVE, FARMERSVILLE, CA 93223-1148
(559) 747-0399
(559) 747-0604
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55G188
—
CA
05
—
55G365
—
CA
Enumeration date
08/13/2007
Last updated
11/28/2023
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