Organization
GRANITE BAY COUNTRYHOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY RANDELS (VP ASSET MANAGEMENT)
(531) 800-3364
Entity
Organization
Contact information
Practice address
8485 BARTON RD, GRANITE BAY, CA 95746-9356
(916) 899-6565
Mailing address
8485 BARTON RD, GRANITE BAY, CA 95746-9356
(916) 899-6565
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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