# DEDICATED CARE IN-HOME SERVICES

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

## Provider details

- **NPI number:** 1386919983
- **Authorized official:** MR. ANTONIO R CHAVEZ (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (559) 765-0888

## Contact information

- **Practice address:** 3995 N FRESNO ST, SUITE 108, FRESNO, CA 93726-4031
- **Practice address phone:** (559) 765-0888
- **Practice address fax:** (559) 761-1037
- **Mailing address:** 3995 N FRESNO ST, SUITE 108, FRESNO, CA 93726-4031
- **Mailing address phone:** (559) 765-0888
- **Mailing address fax:** (559) 761-1037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 102067004961294 | CA | Yes |

## Other

- **Enumeration date:** 03/14/2012
- **Last updated:** 03/14/2012