# TDC CONVALESCENT INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Horizon Health and Subacute Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073507562
- **Authorized official:** MR. THOMAS CLARK (PRESIDENT)
- **Authorized official phone:** (916) 652-4712

## Contact information

- **Practice address:** 3034 E HERNDON AVE, FRESNO, CA 93720-0300
- **Practice address phone:** (559) 321-0883
- **Practice address fax:** (559) 321-7783
- **Mailing address:** 3034 E HERNDON AVE, FRESNO, CA 93720-0300
- **Mailing address phone:** (559) 321-0883
- **Mailing address fax:** (559) 321-7783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 09/09/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC70096F | — | CA |
| 05 | — | ZZR05199K | — | CA |