Organization
NEW HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROYCE ROBLES (ADMINISTRATOR)
(916) 801-5195
Entity
Organization
Contact information
Practice address
2121 VIOLET ST, SACRAMENTO, CA 95825-0133
(916) 801-5195
Mailing address
2121 VIOLET ST, SACRAMENTO, CA 95825-0133
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347004374
CA
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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