Organization
POLYAKOVA INCORPORATED
Active
Organization
POLYAKOVA INCORPORATED
Active
Other names
Bonita Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALENA POLYAKOVA (CEO)
(916) 628-0066
Entity
Organization
Contact information
Practice address
7189 LIVERPOOL LN, ROSEVILLE, CA 95747-5927
(916) 628-0066
Mailing address
7189 LIVERPOOL LN, ROSEVILLE, CA 95747-5927
(916) 628-0066
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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