Organization
GREEN GABLES CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIK SHEAKALEE (ADMINISTRATOR/OWNER)
(559) 307-0950
Entity
Organization
Contact information
Practice address
1549 DOUGLAS AVE, CLOVIS, CA 93611-3124
(559) 297-4152
(661) 209-3076
Mailing address
PO BOX 2481, CANYON COUNTRY, CA 91386-2481
(559) 307-0950
(661) 209-3076
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
03/01/2021
Last updated
07/15/2021
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