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Organization

VELAMMA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SASHEILA GRICE (LLC MEMBER)
(559) 472-8100
Entity
Organization

Contact information

Practice address
6572 N MARIPOSA ST, FRESNO, CA 93710-3820
(559) 438-0980
(559) 438-0980
Mailing address
2804 MCKELVY AVE, CLOVIS, CA 93611-6059
(559) 472-8100
(559) 472-8100

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107209302
COMMUNITY CARE LICENSING, DEPT OF SOCIAL SERVICES
CA
Enumeration date
02/23/2023
Last updated
02/23/2023
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