Individual provider · Type 1 NPI

Mariam Gbaty Soumahoro

Assisted Living Facility · Sacramento, CA

NPI number 1952937658 Active

Practice location

3800 Silver Spur Way
Sacramento, CA 95841-4411

Call (916) 904-0027 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse 163WC1500X783011 (CA)
Assisted Living Facility Primary 310400000X342700506 (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 1952937658

Mariam Gbaty Soumahoro's National Provider Identifier is 1952937658, issued on Mar 14, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Sacramento, CA. The record was last updated on Mar 14, 2020.