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Marine Residential Care Home
Assisted Living Facility in Elk Grove, California
NPI 1194098970

Marine Residential Care Home is an Assisted Living Facility based in Elk Grove, CA. Marine Residential Care Home practices in Elk Grove, CA. The NPI Number for Marine Residential Care Home is 1194098970 and holds a License No. 347003529 (California).

The current practice location address for Marine Residential Care Home is 9649 Sea Cliff Way, Elk Grove, CA and can be reached out via phone at 916-647-3250 and via fax at 916-359-5182.

Location: 9649 Sea Cliff Way, Elk Grove, CA, 95758-7131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194098970
Provider Name
Marine Residential Care Home
Credential
Provider Entity Type
Organization
Address
9649 Sea Cliff Way, Elk Grove, CA, 95758-7131
Phone Number
916-647-3250
Fax Number
916-359-5182
Provider Enumeration Date
02/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T1020 05 CA
institution
Provider Business Practice Location Address Details
Address
9649 Sea Cliff Way
City
Elk Grove
State
California
Zip
95758-7131
Phone Number
916-647-3250
Fax Number
916-359-5182
person
Provider Business Mailing Address Details
Address
9649 Sea Cliff Way
City
Elk Grove
State
California
Zip
95758-7131
Phone Number
916-647-3250
Fax Number
916-359-5182
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
347003529 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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