| NPI | 1053521096 |
|---|---|
| Doing Business As | CAMELOT CARE HOME 1 |
| Entity Type | Organization |
| Authorized Contact | SCOTT EMERSON DAHLQUIST President 916-803-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |