Organization
CARNELIAN ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADLAI GRUTAS (OWNER)
(925) 478-7557
Entity
Organization
Contact information
Practice address
170 FLORA AVE, WALNUT CREEK, CA 94595-1272
(925) 905-9443
Mailing address
2380 WARREN RD, WALNUT CREEK, CA 94595-1247
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
05/24/2021
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