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Organization

ANTONINAS CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMY ROSE CHAVEZ CARIDAD (OWNER)
(650) 534-8855
Entity
Organization

Contact information

Practice address
8712 BRAY VISTA WAY, ELK GROVE, CA 95624-1714
(916) 685-0404
(916) 685-0404
Mailing address
9077 FOUR SEASONS DR, ELK GROVE, CA 95624-1288
(650) 534-8855

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
02/13/2025
Last updated
04/14/2025
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