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Organization

TWILIGHT HAVEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON D BAILEY (ADMINISTRATOR)
(559) 251-8417
Entity
Organization

Contact information

Practice address
1717 S WINERY AVE, FRESNO, CA 93727-5011
(559) 251-8417
(559) 251-1103
Mailing address
1717 S WINERY AVE, FRESNO, CA 93727-5011
(559) 251-8417
(559) 251-1103

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
100400622
CA
314000000X
Skilled Nursing Facility
Primary
100490817
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZR05658F
CA
Enumeration date
07/20/2005
Last updated
05/03/2012
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