Healthcare Provider Details

I. General information

NPI: 1669546891
Provider Name (Legal Business Name): YOUNG AT HEART ADULT DAY HEALTH CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3677 W BEECHWOOD AVE
FRESNO CA
93711-0648
US

IV. Provider business mailing address

3677 W BEECHWOOD AVE
FRESNO CA
93711-0648
US

V. Phone/Fax

Practice location:
  • Phone: 559-261-1115
  • Fax:
Mailing address:
  • Phone: 559-261-1115
  • 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: MS. MIRTHA C WATT
Title or Position: PRESIDENT ADMINISTRATOR
Credential:
Phone: 559-261-1115