MEDICARE: WICK FINANCIAL CORPORATION

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	314000000X	Skilled Nursing Facility	120000586	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689742538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WICK FINANCIAL CORPORATION

Provider Business Mailing Address
First Line	:	1925 E. HOUSTON AVE
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93292
Country	:	US
Telephone Number	:	559-732-1020
Fax Number	:	559-732-6937

Provider Business Practice Location Address
First Line	:	1925 E HOUSTON AVE
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93292-2345
Country	:	US
Telephone Number	:	559-732-1020
Fax Number	:	559-732-6937

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JIM LUNDY
Credential	:	00005701
Telephone Number	:	559-732-1020

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	03/09/2009

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Directions to “WICK FINANCIAL CORPORATION ” Practice Location

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