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Organization

YOUNG AT HEART RCFE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LILLIAN T. SISAYAN R.N. BSN (ADMINISTRATOR/OWNER)
(916) 686-8822
Entity
Organization

Contact information

Practice address
9882 CORTINO WAY, ELK GROVE, CA 95757-3049
(916) 686-8822
(916) 686-5515
Mailing address
9882 CORTINO WAY, ELK GROVE, CA 95757-3049
(916) 686-8822
(916) 686-5515

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347000733
CA

Other

Enumeration date
01/25/2012
Last updated
01/25/2012
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