Organization
SKT HOMES LLC
Active
Other names
The Vintage Farmhouse
Organization subpart
No
Provider details
NPI number
Authorized official
KIM TILLER (LICENSEE/ADMINISTRATOR)
(916) 591-0426
Entity
Organization
Contact information
Practice address
9316 APPALACHIAN DR, SACRAMENTO, CA 95827-1105
(916) 591-0426
Mailing address
9316 APPALACHIAN DR, SACRAMENTO, CA 95827-1105
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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