Organization
FIVE STAR RCFE 1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAYSON CARIDAD (ADMINISTRATOR)
(650) 534-8345
Entity
Organization
Contact information
Practice address
6512 STAR BIRD CT, ELK GROVE, CA 95758-6268
(916) 684-8613
(916) 627-1103
Mailing address
9077 FOUR SEASONS DR, ELK GROVE, CA 95624-1288
(650) 534-8345
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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