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NPI Code Detail

MEDICARE: MANUCH INC.

MEDICARE: MANUCH INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1033727326
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANUCH INC.
Provider Business Mailing Address
First Line : PO BOX 26622
Second Line :
City : FRESNO
State : CA
Zip : 93729-6622
Country : US
Telephone Number : 559-352-0860
Fax Number : 559-272-6431
Provider Business Practice Location Address
First Line : 5610 W DONNER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93722-3721
Country : US
Telephone Number : 559-352-0860
Fax Number : 559-272-6431
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MANUCHAR MANUCHARYAN
Credential :
Telephone Number : 559-352-0860
Provider Enumeration Date : 07/22/2020
Last Update Date : 02/28/2023

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