Organization
FAMILY FIRST RESIDENTIAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARLISHA RUTHIE SIMMONS (OPERATING DIRECTOR)
(559) 797-2688
Entity
Organization
Contact information
Practice address
5389 N ANGUS ST, FRESNO, CA 93710-7014
(559) 797-2688
Mailing address
5389 N ANGUS ST, FRESNO, CA 93710-7014
(559) 797-2688
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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