Organization
ALTAS PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VICKIE ELAINE BRATTON (BOOKKEEPER)
(916) 381-1594
Entity
Organization
Contact information
Practice address
7820 FRUITRIDGE RD, SACRAMENTO, CA 95820-6743
(916) 381-1594
(916) 381-2138
Mailing address
7820 FRUITRIDGE RD, SACRAMENTO, CA 95820-6743
(916) 381-1594
(916) 381-2138
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
LTC60084F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC60084F
FACILITY LICENSE NUMBER
CA
Enumeration date
02/16/2007
Last updated
08/29/2007
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