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1427761261
MAGNOLIA CARE HOME 1 LLC
STOCKTON, CA
NPI
1427761261
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Entity Type
Organization
Authorized Contact
MARIAM GBATY SOUMAHORO
Administrator
510-409-7096
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2022-12-26
Last Update Date
2022-12-26
Business Address
MAGNOLIA CARE HOME 1 LLC
4727 SONGWOOD CT
STOCKTON, CA 95206-6228
Phone number: 510-409-7096
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Mailing Address
MAGNOLIA CARE HOME 1 LLC
4727 SONGWOOD CT
STOCKTON, CA 95206-6228
Phone number: 510-409-7096
Copy
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