Organization
HERITAGE WEST ADHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA ISOUNTS (PRESIDENT)
(559) 261-0707
Entity
Organization
Contact information
Practice address
3677 W BEECHWOOD AVE, FRESNO, CA 93711-0648
(559) 261-0707
(559) 421-0304
Mailing address
3677 W BEECHWOOD AVE, FRESNO, CA 93711-0648
(559) 261-0707
(559) 421-0304
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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