Healthcare Provider Details

I. General information

NPI: 1225559305
Provider Name (Legal Business Name): DYCORA TRANSITIONAL HEALTH & LIVING -- TWIN OAKS ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 06/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 N M ST
TULARE CA
93274-2019
US

IV. Provider business mailing address

650 W ALLUVIAL AVE
FRESNO CA
93711-5507
US

V. Phone/Fax

Practice location:
  • Phone: 559-684-1001
  • Fax: 559-684-9988
Mailing address:
  • Phone: 559-430-3901
  • Fax: 559-430-3995

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: MS. JULIANNE WILLIAMS
Title or Position: CEO
Credential:
Phone: 559-430-3901