# DYCORA TRANSITIONAL HEALTH - FRESNO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1932651130
- **Authorized official:** MARY HAWKINS (EXECUTIVE)
- **Authorized official phone:** (559) 486-4433

## Contact information

- **Practice address:** 2715 FRESNO ST, FRESNO, CA 93721-1304
- **Practice address phone:** (559) 486-4433
- **Mailing address:** 2715 FRESNO ST, FRESNO, CA 93721-1304
- **Mailing address phone:** (559) 486-4433

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2016
- **Last updated:** 01/24/2018