NPI 1023190980

Grace Home

Organisation Adult Care Home Facility Orangevale, CA

Practice location

Address: 9260 Loma Ln, Orangevale, CA 95662-4216
Phone: (916) 989-2184
Fax: (916) 987-1555

Authorised official

Name: Gloria Jacinto Ibanez
Title: Administrator
Phone: (916) 989-2184

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 340314987 (CA)

Other Custodial Care Facility providers in California →

Registry record

NPI: 1023190980
Entity type: Organization
NPI issued: 20 Oct 2006
Record last updated: 25 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.