Provider Demographics
NPI:1326250879
Name:SAN LORENZO HOME HEALTH
Entity Type:Organization
Organization Name:SAN LORENZO HOME HEALTH
Other - Org Name:HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BABUJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:559-230-0516
Mailing Address - Street 1:4021 NORTH FRESNO STREET
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-4030
Mailing Address - Country:US
Mailing Address - Phone:559-230-0516
Mailing Address - Fax:559-230-0517
Practice Address - Street 1:4021 NORTH FRESNO STREET
Practice Address - Street 2:105
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-4030
Practice Address - Country:US
Practice Address - Phone:559-230-0516
Practice Address - Fax:559-230-0517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-05
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health