| Poverello House | |
|
412 F St Fresno CA 93706-3409 | |
| (559) 498-6988 | |
| Not Available |
| Full Name | Poverello House |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 412 F St, Fresno, California |
| Authorized Official Name and Position | Kathleen Murphy (SENIOR DIRECTOR) |
| Authorized Official Contact | 5597867802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Poverello House 412 F St Fresno CA 93706-3409 Ph: (559) 498-6988 | Poverello House 412 F St Fresno CA 93706-3409 Ph: (559) 498-6988 |
| NPI Number | 1144809161 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 0941640742 |
|---|---|
| Medicare Enrollment ID | O20240426001812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144809161 | NPI | - | NPPES |
| Provider Name | Kathleen Ilaine Murphy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518248905 PECOS PAC ID: 4880030303 Enrollment ID: I20240306004494 |
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