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Organization
MENDOZA ANGEL'S RESIDENTIAL CARE
Active
Organization
MENDOZA ANGEL'S RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP LOUISE MACABIO MENDOZA (CHAIR MAN)
(559) 761-9624
Entity
Organization
Contact information
Practice address
3559 W MICHIGAN AVE, FRESNO, CA 93722-6704
(559) 916-4626
Mailing address
4479 W PRINCETON AVE, FRESNO, CA 93722-5187
(559) 916-4626
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/17/2017
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