Organization
ALLELUIA
Active
Other names
Pearl Gates Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE W. MARTINEZ (CHIEF EXECUTIVE OFFICER)
(559) 634-6640
Entity
Organization
Contact information
Practice address
2256 STERLING AVE, SANGER, CA 93657-2033
(559) 638-6640
(559) 638-4311
Mailing address
1630 E MANNING AVE, REEDLEY, CA 93654-2385
(559) 638-6640
(559) 638-4311
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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