Organization
BLOSSOM RIDGE LONG TERM CARE CORPORATION
Active
Other names
Blossom Ridge Long Term Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
JANET AGUSTIN (ADMINISTRATOR)
(916) 284-4129
Entity
Organization
Contact information
Practice address
10143 BLOSSOM RIDGE DR, ELK GROVE, CA 95757-2512
(916) 284-4129
(916) 647-3425
Mailing address
10143 BLOSSOM RIDGE DR, ELK GROVE, CA 95757-2512
(916) 284-4129
(916) 647-3425
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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