Organization
MINA'S SENIOR LIVING LLC
Active
Organization
MINA'S SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIATOU SISAY (LICENSEE)
(916) 776-7060
Entity
Organization
Contact information
Practice address
10163 DORMER WAY, ELK GROVE, CA 95757-1744
(916) 776-7060
Mailing address
10163 DORMER WAY, ELK GROVE, CA 95757-1744
(916) 776-7060
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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