Provider Demographics
NPI:1699531699
Name:EL RETIRO SENIOR SERVICES LLC
Entity type:Organization
Organization Name:EL RETIRO SENIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELOISA
Authorized Official - Middle Name:MARGARETTE
Authorized Official - Last Name:POSADAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN-MSN
Authorized Official - Phone:916-548-4409
Mailing Address - Street 1:124 HILLSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-2119
Mailing Address - Country:US
Mailing Address - Phone:916-548-4409
Mailing Address - Fax:916-618-4994
Practice Address - Street 1:124 HILLSWOOD DR
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-2119
Practice Address - Country:US
Practice Address - Phone:916-548-4409
Practice Address - Fax:916-618-4494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility