NPI 1114173358

Shepherd Home

Organisation Intellectual Disabilities Intermediate Care Facility Fresno, CA

Practice location

Address: 8893 N Sierra Vista Ave, Fresno, CA 93720-3948
Phone: (559) 298-7998
Fax: (559) 298-1551

Authorised official

Name: Lee W Shepherd
Title: Owner
Phone: (559) 298-7998

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 040000491 (CA)

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1114173358
Entity type: Organization
NPI issued: 7 Aug 2008
Record last updated: 7 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.