Magnolia Manor LLC

NPI #1275902652 in Wasilla, Alaska

Provider Information

NPI Number: 1275902652
Entity Type: Organization
Organization Name: Magnolia Manor LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Sep 16, 2015
Last Updated: Sep 16, 2015

Practice Location

Address: 751 N SOMERET CIR
City: Wasilla
State: Alaska
ZIP Code: 99654
Phone: (907) 631-3354

Authorized Official

Name: MRS. CHERYL L SAYEN, RN
Title: ADMINISTRATOR
Phone: (907) 631-3354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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