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Organization
CALIFORNIA HOME FOR THE AGED, INC.
Active
Organization
CALIFORNIA HOME FOR THE AGED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YUBA RADOJKOVICH (ADMINISTRATOR)
(559) 251-8414
Entity
Organization
Contact information
Practice address
6720 E KINGS CANYON RD, FRESNO, CA 93727-3603
(559) 251-8414
(559) 251-5766
Mailing address
6720 E KINGS CANYON RD, FRESNO, CA 93727-3603
(559) 251-8414
(559) 251-5766
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040000081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05955F
—
CA
Enumeration date
11/29/2006
Last updated
07/30/2008
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