Organization
SIERRA MEADOWS SENIOR CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA HELENA HURLEY (ADMINISTRATOR)
(559) 840-0452
Entity
Organization
Contact information
Practice address
5425 W SPRUCE AVE, FRESNO, CA 93722-2362
(559) 840-9347
(559) 554-9606
Mailing address
5425 W SPRUCE AVE, FRESNO, CA 93722-2362
(559) 840-9347
(559) 554-9606
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
310400000X
Assisted Living Facility
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107209048
STATE OF CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
05/11/2022
Last updated
05/11/2022
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