# SANDY'S GUEST HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043393713
- **Authorized official:** GARY TATEISHI (ADMINISTRATOR)
- **Authorized official phone:** (916) 451-5489

## Contact information

- **Practice address:** 4991 44TH ST, SACRAMENTO, CA 95820-5127
- **Practice address phone:** (916) 451-5489
- **Mailing address:** 4991 44TH ST, SACRAMENTO, CA 95820-5127
- **Mailing address phone:** (916) 451-5489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 340310942 | CA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 06/25/2008