| NPI | 1952018681 |
|---|---|
| Doing Business As | MAGNOLIA VILLAGE |
| Entity Type | Organization |
| Authorized Contact | MAYER FISCHL Owner/Managing Member 718-757-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |