# FLORES RECREATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RECREATED HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265242440
- **Authorized official:** MIGUEL FLORES (DIRECTOR)
- **Authorized official phone:** (559) 473-7219

## Contact information

- **Practice address:** 5143 N VALENTINE AVE APT 102, FRESNO, CA 93711-2644
- **Practice address phone:** (559) 776-1977
- **Mailing address:** PO BOX 297, SANTA CRUZ, CA 95061-0297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2025
- **Last updated:** 01/10/2025
