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Organization
FOUR CORNER
Active
Organization
FOUR CORNER
Active
Other names
Four Corner
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASHMIR LUKE (MANAGING PARTNER)
(925) 759-2436
Entity
Organization
Contact information
Practice address
4274 N BLACKSTONE AVE STE 103, FRESNO, CA 93726-1900
(800) 666-5323
Mailing address
PO BOX 690311, STOCKTON, CA 95269-0311
(415) 933-2264
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
385H00000X
Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
12/11/2019
Last updated
07/22/2023
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