NPI 1073921250

Young at Heart Rcfe

Organisation Physical Disabilities Residential Treatment Facility Elk Grove, CA

Practice location

Address: 9882 Cortino Way, Elk Grove, CA 95757-3049
Phone: (916) 686-8822
Fax: (916) 686-5515

Authorised official

Name: Lillian Sisayan
Title: Ceo
Phone: (916) 320-4857

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 347001885 (CA)

Other Residential Treatment Facility, Physical Disabilities providers in California →

Registry record

NPI: 1073921250
Entity type: Organization
NPI issued: 31 Jul 2014
Record last updated: 31 Jul 2014

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.