Organization
GRANNY'S COTTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADALBERTH SABINEL BANCU (ADMINISTRATOR)
(916) 606-9670
Entity
Organization
Contact information
Practice address
7717 DEANTON CT, CITRUS HEIGHTS, CA 95610-2131
(916) 606-9670
(916) 729-9319
Mailing address
7717 DEANTON CT, CITRUS HEIGHTS, CA 95610-2131
(916) 606-9670
(916) 729-9319
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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