Healthcare Provider Details

I. General information

NPI: 1164578290
Provider Name (Legal Business Name): FRESNO ADULT DAY HEALTH CARE FACILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5191 N 6TH ST
FRESNO CA
93710-7502
US

IV. Provider business mailing address

5191 N 6TH ST
FRESNO CA
93710-7502
US

V. Phone/Fax

Practice location:
  • Phone: 559-313-2825
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: DANIEL SEMERDZHYAN
Title or Position: PRESIDENT
Credential:
Phone: 559-313-2825