Organization
7117 MAIN
Active
Other names
PLC 7117 Main
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J COLEMAN (LISCENSEE)
(707) 430-1608
Entity
Organization
Contact information
Practice address
7117 MAIN AVE, ORANGEVALE, CA 95662-2813
(707) 430-1608
Mailing address
7117 MAIN AVE # NA, ORANGEVALE, CA 95662-2813
(707) 430-1608
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
12/13/2024
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