Organization
ANTELOPE HILLS MANOR ICF/DD-N INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO G RANIT RN (PRESIDENT)
(916) 548-1397
Entity
Organization
Contact information
Practice address
8014 RIVERGREEN DR, ELVERTA, CA 95626-9653
(916) 548-1397
(916) 721-9439
Mailing address
9500 LITTORAL ST, ROSEVILLE, CA 95747-9168
(916) 548-1397
(916) 721-9439
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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