# FRESNO NURSING AND REHAB CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fresno Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528625811
- **Authorized official:** BROOKE HIXSON (CONTROLLER)
- **Authorized official phone:** (801) 601-1450

## Contact information

- **Practice address:** 3672 N 1ST ST, FRESNO, CA 93726-6810
- **Practice address phone:** (801) 601-1450
- **Mailing address:** 1376 E 3300 S, SALT LAKE CITY, UT 84106-3069
- **Mailing address phone:** (801) 601-1450

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2019
- **Last updated:** 09/30/2020