Organization
LAVANG CARE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE PALLANAN BAUTISTA BSN, RN (DON)
(559) 704-6796
Entity
Organization
Contact information
Practice address
4644 N BARCUS AVE, FRESNO, CA 93722-8656
(559) 515-6823
(800) 496-0381
Mailing address
2557 E GOSHEN AVE, FRESNO, CA 93720-0503
(559) 578-6624
(800) 496-0381
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/16/2024
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