Organization
MARIAN HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNDARI SUSAN KENDAKUR (EXECUTIVE DIRECTOR)
(559) 347-9900
Entity
Organization
Contact information
Practice address
3086 ARMSTRONG AVE, CLOVIS, CA 93611-5201
(559) 347-9900
(559) 347-0706
Mailing address
3086 ARMSTRONG AVE, CLOVIS, CA 93611-5201
(559) 347-9900
(559) 347-0706
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
315D00000X
Inpatient Hospice
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107201840
COMMUNITY CARE LICENSING
CA
01
—
107202867
COMMUNITY CARE LICENSING
CA
01
—
107203505
COMMUNITY CARE LICENSING
CA
Enumeration date
05/29/2024
Last updated
05/29/2024
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