Organization
YOUNG AT HEART RCFE NO. 4
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
9012 COLOMBARD WAY, SACRAMENTO, CA 95829-1209
(916) 682-6080
Mailing address
9012 COLOMBARD WAY, SACRAMENTO, CA 95829-1209
(916) 686-8822
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
347003792
CA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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