# DYCORA TRANSITIONAL HEALTH-MEMORY CARE OF FRESNO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1295278059
- **Authorized official:** MARY HAWKINS (EXECUTIVE)
- **Authorized official phone:** (559) 275-4785

## Contact information

- **Practice address:** 925 N CORNELIA AVE, FRESNO, CA 93706-1031
- **Practice address phone:** (559) 275-4785
- **Mailing address:** 925 N CORNELIA AVE, FRESNO, CA 93706-1031
- **Mailing address phone:** (559) 275-4785

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 03/17/2022