Organization
CITADEL & IVAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CITADEL CHAVEZ (CEO)
(559) 355-8956
Entity
Organization
Contact information
Practice address
5100 N 6TH ST, SUITE150, FRESNO, CA 93710-7514
(559) 227-7202
(559) 227-7203
Mailing address
5100 N 6TH ST, SUITE150, FRESNO, CA 93710-7514
(559) 227-7202
(559) 227-7203
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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