New Haven

NPI 1053685669 - Assisted Living Facility - 310400000X

NPI Details
NPI 1053685669
Enumeration Date 02/29/2012
Last Updated 02/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ROYCE ROYCE
Position ADMINISTRATOR
Phone (916) 801-5195
Fax
Practice Location
2121 VIOLET ST
SACRAMENTO CA, 95825-0133, US
Phone (916) 801-5195
Fax
Business Location
2121 VIOLET ST
SACRAMENTO CA, 95825-0133, US
Phone
Fax
Toxanomy
Taxonomy Code 310400000X
License State California
License Number 347004374
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According to our database, New Haven NPI is 1053685669, taxonomy code is 310400000X and license number is 347004374, license state is located at California. New Haven physically located at 2121 Violet St, Sacramento CA, 95825-0133. NPI Number 1033115704 has the healthcare provider type.

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1053685669 NPI number is provided on an as is basis without warranty of any kind. 1053685669 is maintained by the National Plan & Provider Enumeration System. The contents of New Haven are for informational purposes only.