Healthcare Provider Details

I. General information

NPI: 1851124143
Provider Name (Legal Business Name): VALLEY CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2024
Last Update Date: 08/22/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 W OAKRIDGE AVE
VISALIA CA
93291-8012
US

IV. Provider business mailing address

3600 W OAKRIDGE AVE
VISALIA CA
93291-8012
US

V. Phone/Fax

Practice location:
  • Phone: 559-644-0324
  • Fax:
Mailing address:
  • Phone: 559-644-0324
  • Fax:

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: WENBO LIU
Title or Position: PRESIDENT
Credential:
Phone: 559-644-0324