Organization
HUMANGOOD FRESNO
Active
Other names
The Terraces at San Joaquin Gardens, San Joaquin Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
KATE WINTER (REVENUE CYCLE MANAGER)
(925) 924-7115
Entity
Organization
Contact information
Practice address
5555 N FRESNO ST, FRESNO, CA 93710
(559) 439-4770
(559) 439-3569
Mailing address
6120 STONERIDGE MALL RD FL 3, ABHOW, PLEASANTON, CA 94588-3296
(925) 924-7100
(925) 924-7101
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040000142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05846F
—
CA
Enumeration date
10/18/2006
Last updated
06/16/2018
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