Citadel & Ivan LLC
Hospice Care, Community Based in Fresno, CA. Organization (NPI-2).
NPI number1982147492
StatusActive
Last updated in NPPESDec 1, 2016
Details
- NPI
- 1982147492
- Entity type
- Organization (NPI-2)
- Legal business name
- Citadel & Ivan LLC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2016
- Last updated
- Dec 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | – | – | Yes |
Practice location
5100 N 6th StSuite150
Fresno, CA 93710-7514
Phone 559-227-7202 · Fax 559-227-7203
Mailing address
5100 N 6th StSuite150
Fresno, CA 93710-7514
Phone 559-227-7202 · Fax 559-227-7203
Authorized official
Citadel Chavez
Ceo
5593558956
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