Organization
MAGNOLIA MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BEBIE MATOS (ADMINISTRATOR)
(707) 217-3908
Entity
Organization
Contact information
Practice address
387 MAGNOLIA DR, HEALDSBURG, CA 95448-9407
(707) 433-9705
(707) 473-0161
Mailing address
387 MAGNOLIA DR, HEALDSBURG, CA 95448-9407
(707) 433-9705
(707) 473-0161
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
496801129
CA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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