| NPI | 1376273169 |
|---|---|
| Doing Business As | MAGNOLIA MANOR |
| Entity Type | Organization |
| Authorized Contact | VICKI FIELD Owner/Administrator 907-841-6471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |