Healthcare Provider Details

I. General information

NPI: 1750167482
Provider Name (Legal Business Name): VICTORIA CARE HOME 2 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6706 N MCCAFFREY AVE
FRESNO CA
93722-8808
US

IV. Provider business mailing address

6706 N MCCAFFREY AVE
FRESNO CA
93722-8808
US

V. Phone/Fax

Practice location:
  • Phone: 559-960-3789
  • Fax:
Mailing address:
  • Phone: 559-960-3789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH YONANGITII
Title or Position: LICENSEE
Credential:
Phone: 559-960-3789