Organization
MAGNOLIA CARE HOME 1 LLC
Active
Organization
MAGNOLIA CARE HOME 1 LLC
Active
Other names
Magnolia Care Home 1
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM GBATY SOUMAHORO (ADMINISTRATOR)
(510) 409-7096
Entity
Organization
Contact information
Practice address
4727 SONGWOOD CT, STOCKTON, CA 95206-6228
(510) 409-7096
Mailing address
4727 SONGWOOD CT, STOCKTON, CA 95206-6228
(510) 409-7096
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up