| Fresno Wound Care In Home Service Inc | |
|
1954 N Gateway Blvd Ste 102 Fresno CA 93727-1644 | |
| (559) 475-0274 | |
| Not Available |
| Full Name | Fresno Wound Care In Home Service Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1954 N Gateway Blvd Ste 102, Fresno, California |
| Authorized Official Name and Position | Anahit Plavchyan (CEO) |
| Authorized Official Contact | 5594750274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresno Wound Care In Home Service Inc 1954 N Gateway Blvd Ste 102 Fresno CA 93727-1644 Ph: (559) 475-0274 | Fresno Wound Care In Home Service Inc 1954 N Gateway Blvd Ste 102 Fresno CA 93727-1644 Ph: (559) 475-0274 |
| NPI Number | 1407615370 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 12/17/2024 |
| Medicare PECOS PAC ID | 6406399195 |
|---|---|
| Medicare Enrollment ID | O20240622000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407615370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
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