Organization
9163 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JATIN PATEL BA (CHIEF OPERATING OFFICER)
(559) 270-5813
Entity
Organization
Contact information
Practice address
4080 N BLACKSTONE AVE, FRESNO, CA 93726-3805
(559) 270-5813
Mailing address
4721 W JENNIFER AVE STE 11, FRESNO, CA 93722-6499
(559) 270-5813
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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