Organization
LAVANG CARE HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY DAVID WINANS (ADMINISTRATOR)
(559) 299-4954
Entity
Organization
Contact information
Practice address
1707 GRIFFITH AVE, CLOVIS, CA 93611-5124
(559) 291-3215
Mailing address
55 SHAW AVE, SUITE 122, CLOVIS, CA 93612-3819
(559) 299-4954
(559) 299-0345
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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