Organization
IMC CARE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA CHERNYAKOVA (CEO/PRESIDENT)
(559) 434-7371
Entity
Organization
Contact information
Practice address
2103 E RYAN AVE, FRESNO, CA 93720-4147
(559) 434-7371
(559) 515-6513
Mailing address
2103 E RYAN AVE, FRESNO, CA 93720-4147
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
107206761
CA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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