Healthcare Provider Details
I. General information
NPI: 1245779305
Provider Name (Legal Business Name): SENIOR MED CARE LIVING INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2017
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2275 N SARATOGA AVE
FRESNO CA
93722-4696
US
IV. Provider business mailing address
2275 N SARATOGA AVE
FRESNO CA
93722-4696
US
V. Phone/Fax
- Phone: 559-892-1102
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HILDA
SEMIRDJIAN
Title or Position: CEO
Credential:
Phone: 559-892-1102