Organization
GRANITE SPRING CARE HOME I INC
Active
Organization
GRANITE SPRING CARE HOME I INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALYA FOKSHA (ADMINISTRATOR)
(916) 952-4192
Entity
Organization
Contact information
Practice address
208 AERIE CT, ROSEVILLE, CA 95661-4063
(916) 952-4192
(916) 899-6402
Mailing address
208 AERIE CT, ROSEVILLE, CA 95661-4063
(916) 952-4192
(916) 899-6402
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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