Organization
CITRUS CREST CARE HOME1
Active
Other names
Citrus Crest Care Home 1 LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM GBATY SOUMAHORO (CEO)
(510) 409-7096
Entity
Organization
Contact information
Practice address
6906 HENNING DR, CITRUS HEIGHTS, CA 95621-2840
(916) 728-1338
Mailing address
6906 HENNING DR, CITRUS HEIGHTS, CA 95621-2840
(916) 728-1338
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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