Provider Demographics
NPI:1033312681
Name:VALLEY ADULT DAY HEALTH CARE CENTER
Entity Type:Organization
Organization Name:VALLEY ADULT DAY HEALTH CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:SALIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-454-0386
Mailing Address - Street 1:4835 E MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-3532
Mailing Address - Country:US
Mailing Address - Phone:559-454-0386
Mailing Address - Fax:
Practice Address - Street 1:4835 E MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-3532
Practice Address - Country:US
Practice Address - Phone:559-454-0386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care