Organization
SUMMIT CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYLENE S BENIGNO-PEREZ (LICENSEE/ADMINISTRATOR)
(916) 479-4945
Entity
Organization
Contact information
Practice address
9440 STONE SPRINGS DR, ELK GROVE, CA 95624-3960
(916) 479-4945
Mailing address
9440 STONE SPRINGS DR, ELK GROVE, CA 95624-3960
(916) 479-4945
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347003096
CA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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