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Organization
SANDY'S GUEST HOME
Active
Organization
SANDY'S GUEST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY TATEISHI (ADMINISTRATOR)
(916) 451-5489
Entity
Organization
Contact information
Practice address
4991 44TH ST, SACRAMENTO, CA 95820-5127
(916) 451-5489
Mailing address
4991 44TH ST, SACRAMENTO, CA 95820-5127
(916) 451-5489
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
340310942
CA
Other
Enumeration date
10/24/2006
Last updated
06/25/2008
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