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Active
Organization subpart
No

Provider details

NPI number
Authorized official
LILIBETH SERRANO (LICENSEE)
(916) 661-2940
Entity
Organization

Contact information

Practice address
3391 JOLA CIR, SACRAMENTO, CA 95832-1548
(916) 661-2940
Mailing address
3391 JOLA CIR, SACRAMENTO, CA 95832-1548
(916) 661-2940

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
05/17/2024
Last updated
05/17/2024
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