Provider Demographics
NPI:1467865287
Name:VR ENIGMA INC
Entity Type:Organization
Organization Name:VR ENIGMA INC
Other - Org Name:ROYAL GARDENS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MALIKA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD CLINICAL
Authorized Official - Phone:559-240-0728
Mailing Address - Street 1:1637 GETTYSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-4509
Mailing Address - Country:US
Mailing Address - Phone:559-240-0728
Mailing Address - Fax:
Practice Address - Street 1:4238 E ALAMOS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-1112
Practice Address - Country:US
Practice Address - Phone:559-240-0728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107201415310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility