# ACTS OF SERVICE

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

## Provider details

- **NPI number:** 1275978694
- **Authorized official:** VICKY ROBINSON LVN (OWNER/NURSE)
- **Authorized official phone:** (559) 412-7686

## Contact information

- **Practice address:** 6327 W WRENWOOD LN, FRESNO, CA 93723-7654
- **Practice address phone:** (559) 412-7686
- **Practice address fax:** (559) 412-7646
- **Mailing address:** 6327 W WRENWOOD LN, FRESNO, CA 93723-7654
- **Mailing address phone:** (559) 412-7686
- **Mailing address fax:** (559) 412-7646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 133072 | CA | Yes |

## Other

- **Enumeration date:** 04/30/2013
- **Last updated:** 04/30/2013