Individual provider · Type 1 NPI

Alfonsus P. Hardosubroto

Assisted Living Facility · Roseville, CA

NPI number 1285599522 Active

Practice location

1397 Sun Tree Dr
Roseville, CA 95661-5344

Call (916) 899-5604 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X315002920 (CA)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1285599522

Alfonsus P. Hardosubroto's National Provider Identifier is 1285599522, issued on Dec 18, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Roseville, CA. The record was last updated on Dec 18, 2025.