Organization
GRANDCARE, INC.
Active
Other names
Mountain Manor Senior Residence
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FRANCIS JORDAN (PRESIDENT)
(415) 250-2721
Entity
Organization
Contact information
Practice address
6101 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(415) 250-2721
(916) 488-3132
Mailing address
6101 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(415) 250-2721
(916) 488-3132
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
347005580
CA
314000000X
Skilled Nursing Facility
Primary
030000067
CA
Other
Enumeration date
06/25/2014
Last updated
04/28/2016
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