Organization
7173 NORTH SHARON AVENUE OPERATING COMPANY, LLC
Active
Other names
San Joaquin Valley Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD EUGENE HOLLINGER (PRESIDENT)
(717) 591-5700
Entity
Organization
Contact information
Practice address
7173 N SHARON AVE, FRESNO, CA 93720-3329
(559) 436-3600
(559) 436-3606
Mailing address
PO BOX 26657, FRESNO, CA 93729-6657
(559) 892-2500
(559) 892-2444
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
040000280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC33032G
—
CA
05
—
HSP43032G
—
CA
Enumeration date
05/23/2006
Last updated
10/10/2023
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