Organization
THE MAGNOLIA HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UKARJIT KAUR (ADMINISTRATOR)
(661) 236-6787
Entity
Organization
Contact information
Practice address
6707 SAUSALITO AVE, WEST HILLS, CA 91307-3722
(661) 236-6787
Mailing address
6707 SAUSALITO AVE, WEST HILLS, CA 91307-3722
(661) 236-6787
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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