NPI 1174014153
Fresno Congregate Living INC
Practice location
- Address
- 3110 E Sierra Ave, Fresno, CA 93710-5917
- Phone
- (559) 270-1073
Authorised official
- Name
- Svetlana Krboyan
- Title
- President/Ceo
- Phone
- (559) 270-1073
Registered specialties
Physical Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1174014153
- Entity type
- Organization
- NPI issued
- 24 May 2018
- Record last updated
- 24 May 2018
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.