Organization · NPI-2

77 Assisted Living

Custodial Care Facility, Adult Care Home · Sacramento, CA

NPI number1700335692
StatusActive
Last updated in NPPESMar 9, 2017

Details

NPI
1700335692
Entity type
Organization (NPI-2)
Legal business name
77 Assisted Living
Organization subpart
No
Enumeration date
Oct 3, 2016
Last updated
Mar 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home347005362CAYes

Practice location

7730 Lorin Ave
Sacramento, CA 95828-3133

Phone 916-388-8328 · Fax 916-387-0418

Mailing address

7730 Lorin Ave
Sacramento, CA 95828-3133

Phone 916-388-8328 · Fax 916-387-0418

Authorized official

Rudi Wu
Administrator
9163888328

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