Healthcare Provider Details

I. General information

NPI: 1588443857
Provider Name (Legal Business Name): THE CABRITO GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 S BRIGHT RD
FRENCH CAMP CA
95231-9759
US

IV. Provider business mailing address

8100 S BRIGHT RD
FRENCH CAMP CA
95231-9759
US

V. Phone/Fax

Practice location:
  • Phone: 209-234-2550
  • Fax:
Mailing address:
  • Phone: 209-234-2550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: MS. ELIZABETH ABESA
Title or Position: BUSINESS MANAGER/ADMINISTRATOR
Credential:
Phone: 209-623-3092