Organization
DEDICATED CARE IN-HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO R CHAVEZ (EXECUTIVE DIRECTOR)
(559) 765-0888
Entity
Organization
Contact information
Practice address
3995 N FRESNO ST, SUITE 108, FRESNO, CA 93726-4031
(559) 765-0888
(559) 761-1037
Mailing address
3995 N FRESNO ST, SUITE 108, FRESNO, CA 93726-4031
(559) 765-0888
(559) 761-1037
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
102067004961294
CA
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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