# KIMBERLY & BEVERLY'S GUEST HOME

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

## Provider details

- **NPI number:** 1376607929
- **Authorized official:** MR. MIKE G TAMPUS (OWNER)
- **Authorized official phone:** (916) 631-7969

## Contact information

- **Practice address:** 10100 COUNTRYSIDE WAY, SACRAMENTO, CA 95827-5517
- **Practice address phone:** (916) 366-3111
- **Practice address fax:** (916) 638-8880
- **Mailing address:** 2218 BUCKS CREEK CT, GOLD RIVER, CA 95670-8121
- **Mailing address phone:** (916) 631-7969
- **Mailing address fax:** (916) 638-8880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 340312905 | CA | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 06/24/2008