Organization
MOTHER VIRGINIA LOVING CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JCTHY WISDOM M OBTINALLA REGISTERED NURSE (RCFE ADMINISTRATOR, PRESIDENT,OWNER)
(916) 801-8917
Entity
Organization
Contact information
Practice address
9847 LINCOLN VILLAGE DR, SACRAMENTO, CA 95827-3401
(916) 801-8917
(916) 476-3622
Mailing address
10949 HAVESHILL WAY, MATHER, CA 95655-3073
(916) 801-8917
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347005727
CA
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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