Healthcare Provider Details

I. General information

NPI: 1023939956
Provider Name (Legal Business Name): MY PLACE ON GARLAND WAY RCFE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6185 GARLAND WAY
ROSEVILLE CA
95747-8970
US

IV. Provider business mailing address

6185 GARLAND WAY
ROSEVILLE CA
95747-8970
US

V. Phone/Fax

Practice location:
  • Phone: 916-409-5099
  • Fax:
Mailing address:
  • Phone: 916-409-5099
  • Fax: 866-560-2076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ARLENE FERGUSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 350-224-8372