Organization
RANCHO RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY HOANG (LICENSEE)
(916) 619-7896
Entity
Organization
Contact information
Practice address
12057 ALERIA CIR, RANCHO CORDOVA, CA 95742-6946
(916) 619-7896
Mailing address
12057 ALERIA CIR, RANCHO CORDOVA, CA 95742-6946
(916) 619-7896
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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