NPI 1528143476

Grace Home I

Organisation Adult Care Home Facility Orangevale, CA

Practice location

Address: 5801 Pecan Ave, Orangevale, CA 95662-4622
Phone: (916) 988-6502
Fax: (916) 987-1555
Mailing address: 108 Oak Rock Cir, Folsom, CA 95630-2016

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 340308436 (CA)

Other Custodial Care Facility providers in California →

Registry record

NPI: 1528143476
Entity type: Organization
NPI issued: 26 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.