Healthcare Provider Details

I. General information

NPI: 1780171223
Provider Name (Legal Business Name): ALAMOS CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2018
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2193 ALAMOS AVE
CLOVIS CA
93611
US

IV. Provider business mailing address

2193 ALAMOS AVE
CLOVIS CA
93611-4134
US

V. Phone/Fax

Practice location:
  • Phone: 559-385-7145
  • Fax: 559-840-2837
Mailing address:
  • Phone: 559-385-7145
  • Fax: 559-840-2837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number550004015
License Number StateCA

VIII. Authorized Official

Name: MS. ANNA SAHAKYAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 818-334-0568