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
5938 E SAGINAW WAY, FRESNO, CA 93727-7974
(559) 293-4535
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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