Organization · NPI-2

Blue Magnolia Place, LLC

Home Health · Apopka, FL

NPI number1154966463
StatusActive
Last updated in NPPESNov 11, 2019

Details

NPI
1154966463
Entity type
Organization (NPI-2)
Legal business name
Blue Magnolia Place, LLC
Organization subpart
No
Enumeration date
Nov 11, 2019
Last updated
Nov 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

2218 Palmetum Loop
Apopka, FL 32712-6066

Phone 407-703-7406

Mailing address

Po Box 1029
Apopka, FL 32704-1029

Authorized official

Marie Gayle
Managing Member
4077037406

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