The Elderly Inn, LLC
NPI #1063957041 in Fair Oaks, California
Provider Information
- NPI Number
- 1063957041
- Entity Type
- Organization
- Organization Name
- The Elderly Inn, LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Dec 29, 2016
- Last Updated
- Dec 29, 2016
Practice Location
- Address
- 4824 LIVOTI AVE
- City
- Fair Oaks
- State
- California
- ZIP Code
- 95628-5008
- Phone
- (916) 806-2223
Authorized Official
- Name
- SAM TOPLEAN
- Title
- OWNER
- Phone
- (916) 806-2223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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