Organization
COMMUNITY LIVING CENTER - FRESNO
Active
Other names
Sierra Hospital Foundation dba Community Living Center - Fresno
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA T MCQUONE NHA (ADMINISTRATOR)
(559) 459-1711
Entity
Organization
Contact information
Practice address
3003 N MARIPOSA, FRESNO, CA 93703
(559) 459-1711
(559) 459-1799
Mailing address
3003 N MARIPOSA, FRESNO, CA 93703
(559) 459-1711
(559) 459-1799
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05043F
—
CA
Enumeration date
08/11/2006
Last updated
08/22/2020
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