Organization
SUNRIVER SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY VILLANUEVA DIZON (CEO)
(916) 955-0424
Entity
Organization
Contact information
Practice address
11229 PECOS RIVER CT, RANCHO CORDOVA, CA 95670-2917
(916) 955-0424
Mailing address
11229 PECOS RIVER CT, RANCHO CORDOVA, CA 95670-2917
(916) 955-0424
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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