Organization
GARDEN VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANWALPREET KAUR RN (ADMINISTRATOR)
(916) 871-4682
Entity
Organization
Contact information
Practice address
1104 NOTTINGHAM CT, ROSEVILLE, CA 95661-5433
(916) 871-4682
(916) 787-0432
Mailing address
5747 OLIVE AVE, ANTELOPE, CA 95843-3907
(916) 871-4682
(916) 787-0432
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
—
—
310400000X
Assisted Living Facility
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
03/05/2026
Last updated
03/09/2026
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