Organization
MAGNOLIA PALMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BHATIA (LICENSEE)
(949) 433-0599
Entity
Organization
Contact information
Practice address
17397 PALM ST, FOUNTAIN VALLEY, CA 92708-2744
(949) 433-0599
Mailing address
17397 PALM ST, FOUNTAIN VALLEY, CA 92708-2744
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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