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Organization

CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS - FRESNO HOME

Active
Parent organization
CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS
Organization subpart
Yes

Provider details

NPI number
Legal business name
CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS
Authorized official
MR. ROJIRIO DE LA CERDA (ADMINISTRATOR)
(559) 493-4241
Entity
Organization

Contact information

Practice address
2811 W CALIFORNIA AVE, FRESNO, CA 93706-2307
(559) 493-4400
(559) 493-4204
Mailing address
2811 W CALIFORNIA AVE, FRESNO, CA 93706-2307
(559) 493-4400
(559) 493-4204

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
107206701
CA

Other

Enumeration date
11/27/2013
Last updated
11/27/2013
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