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Organization
IDEAL CARE CENTERS INC,
Active
Organization
IDEAL CARE CENTERS INC,
Active
Other names
IDEAL CARE CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY AIFEHIENGBE IDONI (PRESIDENT / CEO)
(559) 718-8857
Entity
Organization
Contact information
Practice address
3618 W DAYTON AVE, FRESNO, CA 93722-4704
(559) 275-2488
(559) 275-2488
Mailing address
3618 W DAYTON AVE, FRESNO, CA 93722-4704
(559) 275-2488
(559) 275-2488
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
107206776
CA
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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