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Organization
TRIFOUR HEALTHCARE, LLC
Active
Organization
TRIFOUR HEALTHCARE, LLC
Active
Other names
FOUR CORNER HEALTH, LLC, FOUR CORNERS HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA OZOKWELU (ADMINISTRATOR)
(800) 666-5323
Entity
Organization
Contact information
Practice address
4274 N BLACKSTONE AVE, FRESNO, CA 93726-1900
(800) 666-5323
(844) 626-2020
Mailing address
4274 N BLACKSTONE AVE STE 102, FRESNO, CA 93726-1900
(800) 666-5323
(844) 686-2020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
314000000X
Skilled Nursing Facility
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
385HR2050X
Respite Care Camp
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63-21082
HOME HEALTH AGENCY
CA
Enumeration date
08/30/2021
Last updated
11/27/2024
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