Hassibah - Tlc
NPI #1275523292 in Fresno, California
Provider Information
- NPI Number
- 1275523292
- Entity Type
- Organization
- Organization Name
- Hassibah - Tlc
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 21, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 345 S LOCAN AVE
- City
- Fresno
- State
- California
- ZIP Code
- 93727-9750
- Phone
- (559) 454-1337
Authorized Official
- Name
- MR. LIONEL SMITH
- Title
- BUSINESS ADMINISTRATOR
- Phone
- (559) 454-1337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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