Organization
CALIFORNIA HOME FOR THE AGED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YUBA RADOJKOVICH (ADMINISTRATOR)
(559) 251-8414
Entity
Organization
Contact information
Practice address
6720 E KINGS CANYON RD, FRESNO, CA 93727-3603
(559) 251-8414
(559) 251-5766
Mailing address
6720 E KINGS CANYON RD, FRESNO, CA 93727-3603
(559) 251-8414
(559) 251-5766
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040000081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05955F
—
CA
Enumeration date
11/29/2006
Last updated
07/30/2008
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