Organization
THE GATHERING INN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROLANDE TELLIER (CHIEF OPERATING OFFICER)
(916) 791-9355
Entity
Organization
Contact information
Practice address
201 BERKELEY AVE, ROSEVILLE, CA 95678-2205
(916) 791-9355
(916) 791-1916
Mailing address
201 BERKELEY AVE, ROSEVILLE, CA 95678-2205
(916) 791-9355
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/19/2021
Last updated
07/30/2025
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