Organization
CAMELLIA ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TISA CADWAY (OWNER)
(650) 207-3667
Entity
Organization
Contact information
Practice address
4625 CHICAGO AVE, FAIR OAKS, CA 95628-6034
(916) 962-7106
(916) 962-7106
Mailing address
4625 CHICAGO AVE, FAIR OAKS, CA 95628-6034
(916) 962-7106
(916) 962-7106
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347003786
CA
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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