Provider Demographics
NPI:1295490365
Name:CENTRAL VALLEY LOW INCOME HOUSING CORP.
Entity type:Organization
Organization Name:CENTRAL VALLEY LOW INCOME HOUSING CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-472-7200
Mailing Address - Street 1:PO BOX 4732
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95204-0732
Mailing Address - Country:US
Mailing Address - Phone:209-472-7200
Mailing Address - Fax:209-954-9548
Practice Address - Street 1:2431 W MARCH LN STE 350
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-8218
Practice Address - Country:US
Practice Address - Phone:209-472-7200
Practice Address - Fax:209-954-9548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare