Organization
DYCORA TRANSITIONAL HEALTH - CLOVIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HAWKINS (EXECUTIVE)
(559) 299-2591
Entity
Organization
Contact information
Practice address
111 BARSTOW AVE, CLOVIS, CA 93612-2225
(559) 299-2591
Mailing address
111 BARSTOW AVE, CLOVIS, CA 93612-2225
(559) 299-2591
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
01/24/2018
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