Organization
SUNRISE GUEST HOME 1 & 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRNA QUE DESCARGAR LVN (LICENSEE/ADMINISTRATOR)
(916) 714-0853
Entity
Organization
Contact information
Practice address
8818 SHARKEY AVE, ELK GROVE, CA 95624-1873
(916) 714-0853
(916) 685-6910
Mailing address
8705 GREAT CT, 8818 SHARKEY AVE, ELK GROVE, CA 95624-1873
(916) 714-0853
(916) 685-6910
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
347000538
CA
310400000X
Assisted Living Facility
Primary
347001937
CA
Other
Enumeration date
12/29/2007
Last updated
06/23/2008
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