Organization
MY BROTHER'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MATA RN MSA BSN (ADMINISTRATOR)
(916) 812-8055
Entity
Organization
Contact information
Practice address
8501 OAKCREEK COVE WAY, ORANGEVALE, CA 95662-6003
(916) 812-8955
(916) 812-8955
Mailing address
8501 OAKCREEK COVE WAY, ORANGEVALE, CA 95662-6003
(916) 812-8955
(916) 812-8955
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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