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NPI Code Detail

MEDICARE: HAPPY JOURNEY AT STANSBERRY LLC

MEDICARE: HAPPY JOURNEY AT STANSBERRY LLC
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 Facility

General Provider Information

NPI Number : 1790554095
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAPPY JOURNEY AT STANSBERRY LLC
Provider Business Mailing Address
First Line : 2529 STANSBERRY WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-2122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2529 STANSBERRY WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-2122
Country : US
Telephone Number : 916-883-9188
Fax Number : 916-345-1916
Authorized Official
Title or Position : ADMINISTRATOR
Name : VICKY JIAO
Credential :
Telephone Number : 916-883-9188
Provider Enumeration Date : 12/28/2023
Last Update Date : 12/28/2023

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Directions to “HAPPY JOURNEY AT STANSBERRY LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.