Organization · Type 2 NPI

Lake Shasta, LLC

Assisted Living Facility · Antioch, CA

NPI number 1952118135 Active

Practice location

825 E 18th St
Antioch, CA 94509-2835

Call (925) 706-7944 Map

Mailing address

599 Menlo Dr
Rocklin, CA 95765-3725

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

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 1952118135

Lake Shasta, LLC's National Provider Identifier is 1952118135, issued on Dec 12, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Antioch, CA. The record was last updated on Dec 12, 2024.