# MALTIQUE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sherwood Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962046482
- **Authorized official:** JACK SANOFSKY (MANAGER)
- **Authorized official phone:** (916) 454-4700

## Contact information

- **Practice address:** 4700 ELVAS AVE, SACRAMENTO, CA 95819-2250
- **Practice address phone:** (916) 454-4700
- **Mailing address:** 4700 ELVAS AVE, SACRAMENTO, CA 95819-2250

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2019
- **Last updated:** 01/10/2020
