| NPI | 1861172512 |
|---|---|
| Doing Business As | MAGNOLIA RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | SONIA ROGEL Owner 702-912-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-28 |