Organization
LOYD'S LIBERTY HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BARGMANN (VICE PRESIDENT)
(909) 579-3151
Entity
Organization
Contact information
Practice address
134 S A ST, TULARE, CA 93274-3612
(559) 451-0399
Mailing address
3649 W BEECHWOOD AVE, STE 106, FRESNO, CA 93711-0693
(559) 451-0399
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60902H
—
CA
Enumeration date
05/15/2007
Last updated
08/22/2020
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