7121 Main LLC
NPI #1952099863 in Orangevale, California
Provider Information
- NPI Number
- 1952099863
- Entity Type
- Organization
- Organization Name
- 7121 Main LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 27, 2023
- Last Updated
- Apr 27, 2023
Practice Location
- Address
- 7121 MAIN AVE
- City
- Orangevale
- State
- California
- ZIP Code
- 95662-2813
- Phone
- (707) 430-1608
Authorized Official
- Name
- ROBERT COLMAN
- Title
- LICENSEE
- Phone
- (707) 430-1608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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