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Organization

GRACCIOUS

Active
Other names
Perpetual Manor
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELICA FERNANDEZ (CEO)
(916) 430-6989
Entity
Organization

Contact information

Practice address
9449 PINOT BLANC CT, ELK GROVE, CA 95624-4600
(916) 430-6989
Mailing address
9449 PINOT BLANC CT, ELK GROVE, CA 95624-4600
(916) 430-6989

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
311500000X
Alzheimer Center (Dementia Center)

Other

Enumeration date
01/08/2024
Last updated
01/08/2024
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