Provider Demographics
NPI:1104188218
Name:AGUILAR ELDERLY CARE FACILITY
Entity Type:Organization
Organization Name:AGUILAR ELDERLY CARE FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARICHELLE
Authorized Official - Middle Name:AGUILAR
Authorized Official - Last Name:JAMELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-806-0700
Mailing Address - Street 1:7804 SANDILANDS WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-5250
Mailing Address - Country:US
Mailing Address - Phone:916-689-6301
Mailing Address - Fax:916-689-6301
Practice Address - Street 1:7804 SANDILANDS WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95828-5250
Practice Address - Country:US
Practice Address - Phone:916-689-6301
Practice Address - Fax:916-689-6301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347003270311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility