Organization · NPI-2
7173 North Sharon Avenue Operating Company, LLC
Rehabilitation Hospital · Fresno, CA
NPI number1831144716
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1831144716
- Entity type
- Organization (NPI-2)
- Legal business name
- 7173 North Sharon Avenue Operating Company, LLC
- Organization subpart
- No
- Enumeration date
- May 23, 2006
- Last updated
- Oct 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283X00000X | Rehabilitation Hospital | 040000280 | CA | Yes |
Other names
- San Joaquin Valley Rehabilitation Hospital (Doing Business As)
Practice location
7173 N Sharon AveFresno, CA 93720-3329
Phone 559-436-3600 · Fax 559-436-3606
Mailing address
Po Box 26657Fresno, CA 93729-6657
Phone 559-892-2500 · Fax 559-892-2444
Authorized official
Brad Eugene Hollinger
President
7175915700
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