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1225528094
MAGNOLIA HOME INC
PORT SAINT LUCIE, FL
NPI
1225528094
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Entity Type
Organization
Authorized Contact
PATRICIA CHRISTIAN
CEO
772-626-1413
Organization Subpart ?
No
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
MAGNOLIA HOME INC
918 SW IDOL AVE
PORT SAINT LUCIE, FL 34953-6728
Phone number: 772-626-1413
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Mailing Address
MAGNOLIA HOME INC
918 SW IDOL AVE
PORT SAINT LUCIE, FL 34953-6728
Phone number: 772-626-1413
Copy
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