# CALIFORNIA HOME FOR THE AGED, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205903176
- **Authorized official:** MS. YUBA RADOJKOVICH (ADMINISTRATOR)
- **Authorized official phone:** (559) 251-8414

## Contact information

- **Practice address:** 6720 E KINGS CANYON RD, FRESNO, CA 93727-3603
- **Practice address phone:** (559) 251-8414
- **Practice address fax:** (559) 251-5766
- **Mailing address:** 6720 E KINGS CANYON RD, FRESNO, CA 93727-3603
- **Mailing address phone:** (559) 251-8414
- **Mailing address fax:** (559) 251-5766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 040000081 | CA | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 07/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05955F | — | CA |