Magnolia Assisted Living, LLC

NPI #1407585912 in Calais, Maine

Provider Information

NPI Number: 1407585912
Entity Type: Organization
Organization Name: Magnolia Assisted Living, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Jun 9, 2022
Last Updated: Jun 9, 2022

Practice Location

Address: 152 SOUTH ST
City: Calais
State: Maine
ZIP Code: 04619-1324
Phone: (214) 557-1074

Authorized Official

Name: EDWARD SEDACCA, JD
Title: PRESIDENT/CEO
Phone: (214) 557-1074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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