Individual provider · Type 1 NPI

Maria Custura

Assisted Living Facility · Fair Oaks, CA

NPI number 1104420553 Active

Practice location

6924 Laurel Oak Way
Fair Oaks, CA 95628-3108

Call (191) 659-5573 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X342700811 (CA)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1104420553

Maria Custura's National Provider Identifier is 1104420553, issued on Nov 25, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fair Oaks, CA. The record was last updated on Nov 25, 2020.