NPI | 1932310646 |
---|---|
Doing Business As | CAMELOT CARE HOME 3 |
Entity Type | Organization |
Authorized Contact | SCOTT EMERSON DAHLQUIST President 916-803-1955 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CA 347002174) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |