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NPI Code Detail

MEDICARE: COURTYARD TERRACE

MEDICARE: COURTYARD TERRACE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility347001078CA

General Provider Information

NPI Number : 1053684811
Entity Type Code : Organization
Provider Name (Legal Business Name) : COURTYARD TERRACE
Provider Business Mailing Address
First Line : 3408 ALTA ARDEN EXPY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2103
Country : US
Telephone Number : 916-486-1281
Fax Number : 916-486-1282
Provider Business Practice Location Address
First Line : 3408 ALTA ARDEN EXPY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2103
Country : US
Telephone Number : 916-486-1281
Fax Number : 916-486-1282
Authorized Official
Title or Position : ADMINISTRATOR
Name : ADINA VARAREANU
Credential :
Telephone Number : 916-704-0328
Provider Enumeration Date : 02/09/2012
Last Update Date : 01/06/2014

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Directions to “COURTYARD TERRACE ” Practice Location

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