Healthcare Provider Details

I. General information

NPI: 1437388238
Provider Name (Legal Business Name): ASFC,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 01/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 S CEDAR AVE
FRESNO CA
93702-4331
US

IV. Provider business mailing address

1715 S CEDAR AVE
FRESNO CA
93702-4331
US

V. Phone/Fax

Practice location:
  • Phone: 714-548-8046
  • Fax: 714-388-3632
Mailing address:
  • Phone: 559-237-8377
  • Fax: 559-485-5768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY JARED BRADSHAW
Title or Position: SECRETARY
Credential:
Phone: 559-237-8377