Organization
LORETTA'S LITTLE MIRACLES
Active
Other names
BAKER HICKS, INC
Organization subpart
No
Provider details
NPI number
Authorized official
BRYON BAKER (PRESIDENT)
(559) 226-1225
Entity
Organization
Contact information
Practice address
4747 N 1ST ST STE 181, FRESNO, CA 93726-0517
(559) 226-1225
Mailing address
4747 N 1ST ST STE 181, FRESNO, CA 93726-0517
(559) 226-1225
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550001075
STATE OF CALIFORNIA DEPT. OF PUBLIC HEALTH LICENSE
CA
Enumeration date
05/21/2008
Last updated
07/20/2009
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