# LOYD'S LIBERTY HOMES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE MENTOR NETWORK
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518147636
- **Legal business name:** THE MENTOR NETWORK
- **Authorized official:** MRS. NANCY BARGMANN (VICE PRESIDENT)
- **Authorized official phone:** (909) 483-2505

## Contact information

- **Practice address:** 1733 AUGUSTA LN, ATWATER, CA 95301-4903
- **Practice address phone:** (559) 451-0399
- **Mailing address:** 3649 W BEECHWOOD AVE, STE 106, FRESNO, CA 93711-0693
- **Mailing address phone:** (559) 451-0399
- **Mailing address fax:** (559) 451-0141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | CA | Yes |

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 11/06/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC80010I | — | CA |