Provider Demographics
NPI:1477319242
Name:SIGNATURE LIVING ON WINDING WAY II LLC
Entity Type:Organization
Organization Name:SIGNATURE LIVING ON WINDING WAY II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:AFABLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-952-4348
Mailing Address - Street 1:6270 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-1173
Mailing Address - Country:US
Mailing Address - Phone:916-952-4348
Mailing Address - Fax:916-721-2762
Practice Address - Street 1:6270 WINDING WAY
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-1173
Practice Address - Country:US
Practice Address - Phone:916-952-4348
Practice Address - Fax:916-721-2762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility