Five Magnolias Assisted Living

NPI #1013337286 in Lithia, Florida

Provider Information

NPI Number: 1013337286
Entity Type: Organization
Organization Name: Five Magnolias Assisted Living
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Apr 25, 2014
Last Updated: Apr 25, 2014

Practice Location

Address: 6116 AUDUBON MANOR BLVD
City: Lithia
State: Florida
ZIP Code: 33547-5031
Phone: (813) 486-0702

Authorized Official

Name: MS. SHARON J JOHNSON, MS
Title: ADMINISTRATOR
Phone: (813) 486-0702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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