Organization
GARDENIA SENIOR CARE CENTER INC
Active
Other names
SUNNYSIDE CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NOORJAHAN SYED (PRESIDENT)
(510) 604-0348
Entity
Organization
Contact information
Practice address
2939 S PEACH AVE, FRESNO, CA 93725-9302
(510) 604-0348
(510) 763-7367
Mailing address
2939 S PEACH AVE, FRESNO, CA 93725-9302
(510) 604-0348
(510) 763-7367
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093156952
—
CA
Enumeration date
04/17/2014
Last updated
04/17/2014
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