MEDICARE: ALLEN-COX FAMILY HOMES

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
1	313M00000X	Nursing Facility/Intermediate Care Facility

General Provider Information

NPI Number	:	1104055458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEN-COX FAMILY HOMES

Provider Business Mailing Address
First Line	:	2019 E OAK HAVEN DR
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93730-5105
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3831 N BRIX AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-1132
Country	:	US
Telephone Number	:	559-269-3131
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	RANDY COX
Credential	:
Telephone Number	:	559-269-3131

Provider Enumeration Date	:	07/08/2009
Last Update Date	:	07/08/2009

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