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Organization

PRAISE CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY TATEISHI (ADMINISTRATOR)
(916) 455-7116
Entity
Organization

Contact information

Practice address
4600 PARKER AVE, SACRAMENTO, CA 95820-4013
(916) 455-7116
Mailing address
4600 PARKER AVE, SACRAMENTO, CA 95820-4013
(916) 455-7116

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
340317699
CA

Other

Enumeration date
10/24/2006
Last updated
06/25/2008
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