Organization
KIMBERLY & BEVERLY'S GUEST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE G TAMPUS (OWNER)
(916) 631-7969
Entity
Organization
Contact information
Practice address
10100 COUNTRYSIDE WAY, SACRAMENTO, CA 95827-5517
(916) 366-3111
(916) 638-8880
Mailing address
2218 BUCKS CREEK CT, GOLD RIVER, CA 95670-8121
(916) 631-7969
(916) 638-8880
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
340312905
CA
Other
Enumeration date
12/20/2006
Last updated
06/24/2008
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