Organization
KIMBERLY'S RESIDENTIAL CARE HM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE G TAMPUS (OWNER)
(916) 631-7969
Entity
Organization
Contact information
Practice address
10514 MILLS TOWER DRIVE, RANCHO CORDOVA, CA 95670
(916) 362-4473
(916) 362-4473
Mailing address
2218 BUCKS CREEK COURT, GOLD RIVER, CA 95670
(916) 631-7969
(916) 638-8880
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
340309353
CA
Other
Enumeration date
12/19/2006
Last updated
06/24/2008
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