Organization
A COZY RETIREMENT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEROSA C DIZON N/A (MANAGER)
(916) 502-3008
Entity
Organization
Contact information
Practice address
8781 KELSEY DR, ELK GROVE, CA 95624-1872
(916) 502-3008
(916) 405-4212
Mailing address
8781 KELSEY DR, ELK GROVE, CA 95624-1872
(916) 502-3008
(916) 405-4212
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347004880
CA
Other
Enumeration date
07/04/2012
Last updated
07/04/2012
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