Organization
MARIA'S HOME CARE 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAM GBATY SOUMAHORO RN (ADMINISTRATOR)
(510) 409-7096
Entity
Organization
Contact information
Practice address
5914 CANARY DR, NORTH HIGHLANDS, CA 95660-4708
(510) 409-7096
Mailing address
5914 CANARY DR, NORTH HIGHLANDS, CA 95660-4708
(510) 409-7096
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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