Organization
THE LIVING WATER CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERLINA PRANOTO (LICENSEE)
(279) 529-2233
Entity
Organization
Contact information
Practice address
7800 CLAYPOOL WAY, CITRUS HEIGHTS, CA 95610-2707
(279) 529-2233
Mailing address
7800 CLAYPOOL WAY, CITRUS HEIGHTS, CA 95610-2707
(279) 529-2233
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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