Organization
G STREET HOUSE BOARD & CARE, INC
Active
Other names
Adult Residential Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELLIE MERCADO GAVINO (LICENSEE ADMINISTOR)
(916) 447-2748
Entity
Organization
Contact information
Practice address
1700 G ST, SACRAMENTO, CA 95814-2119
(916) 447-2748
Mailing address
1700 G ST, SACRAMENTO, CA 95814-2119
(916) 447-2748
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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