Healthcare Provider Details

I. General information

NPI: 1689742538
Provider Name (Legal Business Name): WICK FINANCIAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 03/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 E HOUSTON AVE
VISALIA CA
93292-2345
US

IV. Provider business mailing address

1925 E. HOUSTON AVE
VISALIA CA
93292
US

V. Phone/Fax

Practice location:
  • Phone: 559-732-1020
  • Fax: 559-732-6937
Mailing address:
  • Phone: 559-732-1020
  • Fax: 559-732-6937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number120000586
License Number StateCA

VIII. Authorized Official

Name: MR. JIM LUNDY
Title or Position: ADMINISTRATOR
Credential: 00005701
Phone: 559-732-1020