Organization
NIA HEALTHCARE SERIVCES, INC
Active
Other names
Raintree Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JEWELL MARIE WILLIAMS ADMINISTRATION (ADMINISTRATOR)
(559) 251-8245
Entity
Organization
Contact information
Practice address
5265 E HUNTINGTON AVE, FRESNO, CA 93727-4013
(559) 251-8245
(559) 251-5138
Mailing address
5265 E HUNTINGTON AVE, FRESNO, CA 93727-4013
(559) 251-8245
(559) 251-5138
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18181G
—
CA
Enumeration date
01/31/2007
Last updated
08/22/2020
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