Provider Demographics
NPI:1285735597
Name:FRESNO HEALTH CARE SERVICES, INC
Entity type:Organization
Organization Name:FRESNO HEALTH CARE SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:SYLVA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALOZIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-275-2064
Mailing Address - Street 1:10707 CORPORATE DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4095
Mailing Address - Country:US
Mailing Address - Phone:713-234-7301
Mailing Address - Fax:713-234-7309
Practice Address - Street 1:10707 CORPORATE DRIVE
Practice Address - Street 2:SUITE 106
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4001
Practice Address - Country:US
Practice Address - Phone:713-234-7301
Practice Address - Fax:713-234-7309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX703802313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility