| NPI | 1568818300 |
|---|---|
| Doing Business As | MAGNOLIA TRACE REHABILITATION SUITE |
| Entity Type | Organization |
| Authorized Contact | SUSAN AHERN SVP, CFO 215-661-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: AL 15137) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2024-02-20 |