# SCOTTSDALE GUEST HOME

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

## Provider details

- **NPI number:** 1679635601
- **Authorized official:** CORAZON DE ALA EPISCOPE (OWNER ADMINISTRATOR)
- **Authorized official phone:** (916) 682-2305

## Contact information

- **Practice address:** 8047 ROCKHURST WAY, SACRAMENTO, CA 95828-4226
- **Practice address phone:** (916) 682-2305
- **Practice address fax:** (916) 688-7745
- **Mailing address:** 8047 ROCKHURST WAY, SACRAMENTO, CA 95828
- **Mailing address fax:** (916) 688-7745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 347000357 | CA | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 06/23/2008