Organization
GAHC4 SACRAMENTO CA TRS SUB LLC
Active
Other names
Legacy Oaks of Sacramento
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY J VAUGHN (REIMBURSEMENT ANALYST)
(240) 882-9712
Entity
Organization
Contact information
Practice address
1922 MORSE AVE, SACRAMENTO, CA 95825-2136
(916) 482-7745
Mailing address
1922 MORSE AVE, SACRAMENTO, CA 95825-2136
(916) 482-7745
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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