5th Street 1808 LLC
NPI #1831914639 in Sanger, California
Provider Information
- NPI Number
- 1831914639
- Entity Type
- Organization
- Organization Name
- 5th Street 1808 LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 18, 2024
- Last Updated
- Nov 18, 2024
Practice Location
- Address
- 1808 5TH ST
- City
- Sanger
- State
- California
- ZIP Code
- 93657-2313
- Phone
- (650) 776-2280
Authorized Official
- Name
- ELSA NGUYEN
- Title
- LICENSEE
- Phone
- (650) 776-2280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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