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Organization
PRODIGY HEALTHCARE INC.
Active
Organization
PRODIGY HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAGDIP DHANDA (CEO)
(559) 892-9452
Entity
Organization
Contact information
Practice address
2888 S IVY AVE, FRESNO, CA 93706-5513
(559) 892-9452
Mailing address
PO BOX 820, FOWLER, CA 93625-0820
(559) 892-9452
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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