Organization
FAIR OAKS ESTATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRT HAMBURG (LICENSEE/CEO)
(916) 944-2077
Entity
Organization
Contact information
Practice address
8845 FAIR OAKS BLVD, CARMICHAEL, CA 95608-2652
(916) 944-2077
(916) 944-3167
Mailing address
8845 FAIR OAKS BLVD, CARMICHAEL, CA 95608-2652
(916) 944-2077
(916) 944-3167
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347001356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60499840
ACS
CA
Enumeration date
09/25/2007
Last updated
05/09/2024
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