| NPI | 1427761261 |
|---|---|
| Other Name | MAGNOLIA CARE HOME 1 |
| 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 |