# YOUNG AT HEART RCFE

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

## Provider details

- **NPI number:** 1073921250
- **Authorized official:** LILLIAN SISAYAN R.N., BSN (CEO)
- **Authorized official phone:** (916) 320-4857

## Contact information

- **Practice address:** 9882 CORTINO WAY, ELK GROVE, CA 95757-3049
- **Practice address phone:** (916) 686-8822
- **Practice address fax:** (916) 686-5515
- **Mailing address:** 9882 CORTINO WAY, ELK GROVE, CA 95757-3049
- **Mailing address phone:** (916) 686-8822
- **Mailing address fax:** (916) 686-5515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 347001885 | CA | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 07/31/2014