Organization
GRV A CALIFORNIA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J CIMINO (CEO)
(916) 704-6275
Entity
Organization
Contact information
Practice address
509 MICHIGAN BLVD, WEST SACRAMENTO, CA 95691-2705
(916) 713-5110
Mailing address
7405 GREENBACK LANE, 336, CITRUS HEIGHTS, CA 95610
(916) 486-9639
(916) 750-5701
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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