Magnolia Retirement Home INC

NPI #1922307586 in Sebring, Florida

Provider Information

NPI Number
1922307586
Entity Type
Organization
Organization Name
Magnolia Retirement Home INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 22, 2011
Last Updated
Mar 22, 2011

Practice Location

Address
149 MAGNOLIA AVE
State
Florida
ZIP Code
33870-3613
Phone
(863) 382-2116

Authorized Official

Name
MR. MANUEL M DOMISIW
Title
OWNER/ADMINISTRATOR
Phone
(863) 382-2116

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility - Assisted Living, Mental IllnessAssisted Living, Mental Illness
Assisted Living Facility

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