Organization · NPI-2

Tice Valley Residential Care

Assisted Living Facility · Walnut Creek, CA

NPI number1063341444
StatusActive
Last updated in NPPESMay 14, 2026

Details

NPI
1063341444
Entity type
Organization (NPI-2)
Legal business name
Tice Valley Residential Care
Organization subpart
No
Enumeration date
May 14, 2026
Certification date
May 13, 2026
Last updated
May 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

2206 Tice Valley Blvd
Walnut Creek, CA 94595-2616

Phone 925-705-7841

Mailing address

2206 Tice Valley Blvd
Walnut Creek, CA 94595-2616

Phone 925-705-7841

Authorized official

Mark S Gutierrez
Manager
6505807748

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