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7117 Main — NPI 1841048808, Orangevale, CA | NPI Central

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NPI 1841048808

OrganizationActive

7117 Main

NPI 1841048808 · Assisted Living Facility · Orangevale, CA

Provider details

NPI number: 1841048808
Entity type: Organization
Primary specialty: Assisted Living FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Robert Coleman, Liscensee(707) 430-1608

Specialties & taxonomies

Assisted Living FacilityPrimary310400000X
Nursing & Custodial Care Facilities

Practice location

7117 Main Ave

Orangevale, CA 95662-2813

Phone: (707) 430-1608

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

7117 Main Ave # Na

Orangevale, CA 95662-2813

Other names (DBA / former)

Doing business as: PLC 7117 Main

Registry dates

Enumerated: 2024-05-07
Last updated: 2024-12-13
Certified: 2024-12-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.