Magnolia House
NPI #1437491651 in Cocoa Beach, Florida
Provider Information
- NPI Number
- 1437491651
- Entity Type
- Organization
- Organization Name
- Magnolia House
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 26, 2013
- Last Updated
- Mar 26, 2013
Practice Location
- Address
- 103 YACHT HAVEN DR
- City
- Cocoa Beach
- State
- Florida
- ZIP Code
- 32931-2627
- Phone
- (321) 613-3029
Authorized Official
- Name
- MRS. TRACEY BRINN HARRISON
- Title
- ADMINISTRATOR
- Phone
- (321) 613-3029
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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