Organization
SHEPHERD HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE W SHEPHERD (OWNER)
(559) 298-7998
Entity
Organization
Contact information
Practice address
8893 N SIERRA VISTA AVE, FRESNO, CA 93720-3948
(559) 298-7998
(559) 298-1551
Mailing address
8893 N SIERRA VISTA AVE, FRESNO, CA 93720-3948
(559) 298-7998
(559) 298-1551
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
040000491
CA
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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