MEDICARE: ACTS OF SERVICE

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	253Z00000X	In Home Supportive Care Agency	133072	CA

General Provider Information

NPI Number	:	1275978694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACTS OF SERVICE

Provider Business Mailing Address
First Line	:	6327 W WRENWOOD LN
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93723-7654
Country	:	US
Telephone Number	:	559-412-7686
Fax Number	:	559-412-7646

Provider Business Practice Location Address
First Line	:	6327 W WRENWOOD LN
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93723-7654
Country	:	US
Telephone Number	:	559-412-7686
Fax Number	:	559-412-7646

Authorized Official
Title or Position	:	OWNER/NURSE
Name	:	VICKY ROBINSON
Credential	:	LVN
Telephone Number	:	559-412-7686

Provider Enumeration Date	:	04/30/2013
Last Update Date	:	04/30/2013

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Directions to “ACTS OF SERVICE ” Practice Location

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