Medina Residentical Care Services

Day Training, Developmentally Disabled Services in Fresno, CA. Organization (NPI-2).

NPI number1841502655

StatusActive

Last updated in NPPESJul 9, 2010

Details

NPI: 1841502655
Entity type: Organization (NPI-2)
Legal business name: Medina Residentical Care Services
Organization subpart: No
Enumeration date: Jul 9, 2010
Last updated: Jul 9, 2010

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251C00000X	Day Training, Developmentally Disabled Services	107202360	CA	Yes
251E00000X	Home Health	–	–
253Z00000X	In Home Supportive Care	–	–
261QD1600X	Clinic/Center, Developmental Disabilities	107202360	CA
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	107203232	CA
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–
332U00000X	Home Delivered Meals	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–
347C00000X	Private Vehicle	–	–

Practice location

1568 N Millbrook Ave
Fresno, CA 93703-4149

Phone 559-392-7291 · Fax 559-840-1714

Mailing address

1568 N Millbrook Ave
Fresno, CA 93703-4149

Phone 559-392-7291 · Fax 559-840-1714

Authorized official

Mysti Medina
Owner
5593927291

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