Organization
GRACEFUL LIVING MVN CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANAE R MALBROUGH (CEO)
(510) 590-7095
Entity
Organization
Contact information
Practice address
412 MOUNT VERNON CIR, VACAVILLE, CA 95688-9495
(707) 492-5849
Mailing address
548 MARKET ST, SAN FRANCISCO, CA 94104-5401
(510) 590-7095
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
11/20/2024
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