Organization
AGELONG HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY J PENG (ADMINSTRATOR)
(916) 929-2598
Entity
Organization
Contact information
Practice address
6862 GLORIA DR, SACRAMENTO, CA 95831-2440
(916) 929-2598
Mailing address
6862 GLORIA DR, SACRAMENTO, CA 95831-2440
(916) 929-2598
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347005440
CA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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