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Organization

WALNUT HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STUART M DRAKE (EXEC. ADMINISTRATOR)
(916) 483-6612
Entity
Organization

Contact information

Practice address
3401 WALNUT AVE, CARMICHAEL, CA 95608-3241
(916) 483-6612
(916) 483-7134
Mailing address
3401 WALNUT AVE, CARMICHAEL, CA 95608-3241
(916) 483-6612
(916) 483-7134

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RCF00023F
CA
Enumeration date
02/07/2007
Last updated
08/22/2020
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