Organization
WOOD'S RETREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REMA P STOUT (GENERAL PARTNER)
(916) 421-5845
Entity
Organization
Contact information
Practice address
7415 HENRIETTA DR, SACRAMENTO, CA 95822-5142
(916) 421-5845
(916) 880-5451
Mailing address
7415 HENRIETTA DR, SACRAMENTO, CA 95822-5142
(916) 421-5845
(916) 880-5451
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
340306720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340306720
CALIFORNIA
CA
Enumeration date
01/05/2013
Last updated
01/05/2013
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