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Organization

PACIFIC CARE HOMES 2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY W. DAVIS (OWNER)
(559) 271-3431
Entity
Organization

Contact information

Practice address
4458 N CHARLES AVE, FRESNO, CA 93722-4109
(559) 271-1921
(559) 271-2086
Mailing address
4222 W ALAMOS AVE STE 104, FRESNO, CA 93722-3900
(559) 271-3431
(559) 271-2086

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
CA

Other

Enumeration date
08/24/2007
Last updated
08/24/2007
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