Green Pasture Guest Home
NPI #1598848269 in Sacramento, California
Provider Information
- NPI Number
- 1598848269
- Entity Type
- Organization
- Organization Name
- Green Pasture Guest Home
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Jun 25, 2008
Practice Location
- Address
- 4604 ROOSEVELT AVE
- City
- Sacramento
- State
- California
- ZIP Code
- 95820-4520
- Phone
- (916) 457-3129
Authorized Official
- Name
- GARY TATEISHI
- Title
- ADMINISTRATOR
- Phone
- (916) 457-3129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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