Organization
GOLDEN HOME RCFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISPINA LUMBANG DE ALA (LICENSEE)
(916) 682-5409
Entity
Organization
Contact information
Practice address
7710 ELSIE AVE, SACRAMENTO, CA 95828-4861
(916) 682-5409
Mailing address
7710 ELSIE AVE, SACRAMENTO, CA 95828-4861
(916) 682-5409
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
340314985
CA
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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