Organization
K&B MAG CORP.
Active
Organization
K&B MAG CORP.
Active
Other names
Queens Home 3
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY JEBELLI MAGHBOULEH (CFO)
(714) 235-0515
Entity
Organization
Contact information
Practice address
14752 HOLT AVE, TUSTIN, CA 92780-2708
(714) 235-0515
Mailing address
14752 HOLT AVE, TUSTIN, CA 92780-2708
(714) 235-0515
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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