Organization
FSH FISHER
Active
Other names
Country Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE FAYE FERGUSON (OWNER/ADMINISTRATOR)
(661) 330-6501
Entity
Organization
Contact information
Practice address
22371 BANDUCCI RD, TEHACHAPI, CA 93561-7720
(661) 822-6457
(661) 822-6458
Mailing address
22371 BANDUCCI RD, TEHACHAPI, CA 93561-7720
(661) 822-6457
(661) 822-6458
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
155801217
CA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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