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General NPI Number Information
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NPI Number | 1992633630
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Entity Type | Organization
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Legal Business Name | SEWA SENIOR FACILITY LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 1245 CRESCENDO DR
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City | ROSEVILLE
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State | CA
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Zip | 95678-5166
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Country | US
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Telephone | 916-582-9819
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Fax | 279-249-3020
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Provider Business Mailing Address
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Address Line | 11934 ROQUEFORT WAY
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City | RANCHO CORDOVA
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State | CA
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Zip | 95742-6938
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Country | US
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Telephone | 916-582-9819
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Fax | 279-249-3020
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Authorized Official
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Title or Position | SUPERVISOR
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Name | MANAVDEEP SOHAL
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Credential |
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Telephone | 916-582-9819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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