Organization
OUR FATHERS HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISABEL VELA PASTOR (PASTOR)
(559) 667-3608
Entity
Organization
Contact information
Practice address
3626 E VENTURA AVE, FRESNO, CA 93702-3252
(559) 667-3608
Mailing address
1830 S MOONEY BLVD STE 101, VISALIA, CA 93277-4488
(559) 667-3608
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
—
305S00000X
Point of Service
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/06/2022
Last updated
02/02/2023
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