Organization
YOUNG AT HEART RCFE NO. 5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIAN T. SISAYAN R.N., BSN (CEO, ADMINISTRATOR)
(916) 686-8822
Entity
Organization
Contact information
Practice address
8039 CAYMUS DR, SACRAMENTO, CA 95829-1258
(916) 689-8882
(916) 689-8882
Mailing address
9882 CORTINO WAY, ELK GROVE, CA 95757-3049
(916) 686-8822
(916) 686-5515
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
347004226
CA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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