# FRESNO CONGREGATE LIVING INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fresno Congregate Living Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174014153
- **Authorized official:** SVETLANA KRBOYAN (PRESIDENT/CEO)
- **Authorized official phone:** (559) 270-1073

## Contact information

- **Practice address:** 3110 E SIERRA AVE, FRESNO, CA 93710-5917
- **Practice address phone:** (559) 270-1073
- **Mailing address:** 3110 E SIERRA AVE, FRESNO, CA 93710-5917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2018
- **Last updated:** 05/24/2018