Organization
COTTAGE PARK PLACE L.P.
Active
Other names
Gramercy Court
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA R GORDON (OWNER)
(916) 482-2200
Entity
Organization
Contact information
Practice address
2200 GRAMERCY DR, SACRAMENTO, CA 95825-0308
(916) 482-2200
(916) 482-2205
Mailing address
2200 GRAMERCY DR, SACRAMENTO, CA 95825-0308
(916) 482-2200
(916) 482-2205
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030000403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC555459F
—
CA
Enumeration date
03/21/2007
Last updated
05/09/2014
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