Organization
ALC ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANINA B LUP RN (ADMINISTRATOR)
(916) 500-2163
Entity
Organization
Contact information
Practice address
6705 JUDISTINE DR, FAIR OAKS, CA 95628-3015
(916) 500-2163
(916) 844-7178
Mailing address
6705 JUDISTINE DR, FAIR OAKS, CA 95628-3015
(916) 500-2163
(916) 844-7178
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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