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General NPI Number Information
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NPI Number | 1205787108
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Entity Type | Organization
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Legal Business Name | SERENE VALLEY HEALTHCARE, LLC
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 4837 E MCKINLEY AVE
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City | FRESNO
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State | CA
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Zip | 93703-3532
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Country | US
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Telephone | 559-492-2876
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Fax | 559-412-7642
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Provider Business Mailing Address
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Address Line | 4837 E MCKINLEY AVE
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City | FRESNO
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State | CA
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Zip | 93703-3532
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Country | US
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Telephone | 559-492-2876
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Fax | 559-412-7642
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Authorized Official
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Title or Position | OWNER/MEMBERS
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Name | KIYA NKAUJNOOG LOR
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Credential | LOR
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Telephone | 559-417-1795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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