NPI 1033259213
Country Club Manor
Practice location
- Address
- 2100 Butano Dr, Sacramento, CA 95825-0448
- Phone
- (916) 481-9240
- Fax
- (916) 483-7134
Authorised official
- Name
- Stuart M Drake
- Title
- Exec. Administrator
- Phone
- (916) 481-9240
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1033259213
- Entity type
- Organization
- NPI issued
- 7 Feb 2007
- Record last updated
- 22 Aug 2020
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.