Healthcare Provider Details
I. General information
NPI: 1023105392
Provider Name (Legal Business Name): WISH-I-AH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
35680 WISH-I-AH ROAD 35680 WISH-I-AH ROAD
AUBERRY CA
93602-0615
US
IV. Provider business mailing address
35680 WISH-I-AH ROAD 35680 WISH-I-AH ROAD
AUBERRY CA
93602-0615
US
V. Phone/Fax
- Phone: 559-855-2211
- Fax: 559-855-6590
- Phone: 559-855-2211
- Fax: 559-855-6590
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name: MRS.
JANICE
MARIE
HARSHMAN
Title or Position: OWNER/ADMINISTRATOR
Credential: CORPORATE PRESIDENT
Phone: 559-855-2211