Organization
CG ESTEPA CARE HOME 2, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEMMA CACCAM ESTEPA REGISTERED NURSE (CEO, ADMINISTRATOR)
(916) 670-0180
Entity
Organization
Contact information
Practice address
12800 THORNBERG WAY, RANCHO CORDOVA, CA 95742-7812
(916) 670-0180
Mailing address
11894 ELK VIEW WAY, RANCHO CORDOVA, CA 95742-8132
(916) 670-0180
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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