# ALTAS PLACE INC

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

## Provider details

- **NPI number:** 1609910199
- **Authorized official:** MISS VICKIE ELAINE BRATTON (BOOKKEEPER)
- **Authorized official phone:** (916) 381-1594

## Contact information

- **Practice address:** 7820 FRUITRIDGE RD, SACRAMENTO, CA 95820-6743
- **Practice address phone:** (916) 381-1594
- **Practice address fax:** (916) 381-2138
- **Mailing address:** 7820 FRUITRIDGE RD, SACRAMENTO, CA 95820-6743
- **Mailing address phone:** (916) 381-1594
- **Mailing address fax:** (916) 381-2138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | LTC60084F | CA | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 08/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | LTC60084F | FACILITY LICENSE NUMBER | CA |