Healthcare Provider Details

I. General information

NPI: 1194020727
Provider Name (Legal Business Name): FRESNO YOSEMITE HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2011
Last Update Date: 01/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 N GATEWAY BLVD SUITE 103
FRESNO CA
93727-1643
US

IV. Provider business mailing address

1951 N GATEWAY BLVD SUITE 103
FRESNO CA
93727-1643
US

V. Phone/Fax

Practice location:
  • Phone: 559-255-9965
  • Fax:
Mailing address:
  • Phone: 559-255-9965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHN JAY MENDEL
Title or Position: EXECUTIVE DIRECTOR/ADMINISTRATOR
Credential: R.N.
Phone: 559-255-9965