NPI | 1386987642 |
---|---|
Doing Business As | MAGNOLIA HOUSE ALF |
Entity Type | Organization |
Authorized Contact | DEBORAH MULLINS Owner 352-200-1689 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12281) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2014-04-02 |