Organization
TDC CONVALESCENT INC.
Active
Other names
Horizon Health and Subacute Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS CLARK (PRESIDENT)
(916) 652-4712
Entity
Organization
Contact information
Practice address
3034 E HERNDON AVE, FRESNO, CA 93720-0300
(559) 321-0883
(559) 321-7783
Mailing address
3034 E HERNDON AVE, FRESNO, CA 93720-0300
(559) 321-0883
(559) 321-7783
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70096F
—
CA
05
—
ZZR05199K
—
CA
Enumeration date
09/09/2005
Last updated
08/22/2020
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