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Organization

GAVANA CORPORATION

Active
Other names
Right at Home
Organization subpart
No

Provider details

NPI number
Authorized official
MISS LACKHENA MURALLON RN, BSN (DIRECTOR)
(916) 302-4243
Entity
Organization

Contact information

Practice address
5842 LONETREE BLVD, ROCKLIN, CA 95765-3785
(916) 302-4243
(916) 302-4730
Mailing address
4065 SOUTHAMPTON ST, ROSEVILLE, CA 95747-4241
(209) 817-4739

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253Z00000X
CA
Enumeration date
10/06/2020
Last updated
10/06/2020
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