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Organization

BLACK ENTERPRISES HEALTHCARE MANAGEMENT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTAY R DAVIES-BALCH (OWNER)
(559) 790-1905
Entity
Organization

Contact information

Practice address
2201 CALAVERAS ST, FRESNO, CA 93721-1103
(559) 790-1905
Mailing address
1133 S ST, FRESNO, CA 93721-1408

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
207V00000X
Obstetrics & Gynecology Physician
251C00000X
Developmentally Disabled Services Day Training Agency
374J00000X
Doula
Primary

Other

Enumeration date
01/11/2022
Last updated
02/26/2025
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