NPI | 1437969862 |
---|---|
Doing Business As | MARIGOLD RESIDENCE |
Entity Type | Organization |
Authorized Contact | MONIKA SHAH Provider 510-387-5797 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2025-01-08 |
Last Update Date | 2025-01-09 |