Organization
PHENOMENAL LIVING LLC
Active
Organization
PHENOMENAL LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASTACIA DENNIS RN (CO-FOUNDER)
(559) 309-3294
Entity
Organization
Contact information
Practice address
1225 OTTAWA AVE, CORCORAN, CA 93212-9682
(559) 380-4455
Mailing address
1362 W CORTNER ST, HANFORD, CA 93230-8140
(559) 380-4455
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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