1 Magnolia Drive Operations LLC
NPI #1033391503 in La Plata, Maryland
Provider Information
- NPI Number
- 1033391503
- Entity Type
- Organization
- Organization Name
- 1 Magnolia Drive Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 27, 2007
- Last Updated
- Aug 14, 2020
Practice Location
Authorized Official
- Name
- MICHAEL T. BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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