Organization
UNITED CARE RESIDENTIAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIEBETH B ARZADON (LICENSEE/ADMINISTRATOR)
(916) 421-4778
Entity
Organization
Contact information
Practice address
47 DECATHLON CIR, SACRAMENTO, CA 95823-4076
(916) 421-4778
Mailing address
47 DECATHLON CIR, SACRAMENTO, CA 95823-4076
(916) 421-4778
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347004338
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T1020
—
CA
Enumeration date
04/10/2012
Last updated
04/10/2012
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