7121 Main LLC

Organization Active NPI Assisted Living Facility · Orangevale, CA

NPI 1952099863 · NPPES record last updated Apr 27, 2023

Key facts

NPI
1952099863
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
7121 MAIN LLC
Practice address
7121 Main Ave
Orangevale, CA 95662-2813
Phone
(707) 430-1608
NPI assigned
Apr 27, 2023
Organization subpart
No

Authorized official

Name
Robert Colman
Title
Licensee
Phone
(707) 430-1608

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

7121 Main Ave
Orangevale, CA 95662-2813

Mailing address

7121 Main Ave
Orangevale, CA 95662-2813
Phone (707) 430-1608

Other providers in Orangevale, CA

All providers in Orangevale, CA · Assisted Living Facility in California

Sources for this page

Verify at the official NPI Registry.