# COTTAGE PARK PLACE L.P.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gramercy Court
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588780589
- **Authorized official:** MS. LINDA R GORDON (OWNER)
- **Authorized official phone:** (916) 482-2200

## Contact information

- **Practice address:** 2200 GRAMERCY DR, SACRAMENTO, CA 95825-0308
- **Practice address phone:** (916) 482-2200
- **Practice address fax:** (916) 482-2205
- **Mailing address:** 2200 GRAMERCY DR, SACRAMENTO, CA 95825-0308
- **Mailing address phone:** (916) 482-2200
- **Mailing address fax:** (916) 482-2205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 030000403 | CA | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 05/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC555459F | — | CA |