| Green Gables Care Home | |
|
1549 Douglas Ave Clovis CA 93611-3124 | |
| (559) 297-4152 | |
| (661) 209-3076 |
| Full Name | Green Gables Care Home |
|---|---|
| Speciality | Social Worker |
| Location | 1549 Douglas Ave, Clovis, California |
| Authorized Official Name and Position | Lorik Sheakalee (ADMINISTRATOR/OWNER) |
| Authorized Official Contact | 5593070950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Gables Care Home Po Box 2481 Canyon Country CA 91386-2481 Ph: (559) 307-0950 | Green Gables Care Home 1549 Douglas Ave Clovis CA 93611-3124 Ph: (559) 297-4152 |
| NPI Number | 1891380986 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891380986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 310400000X | Assisted Living Facility | (* (Not Available)) | Secondary |
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