Magnolia Fields Afch LLC
Assisted Living Facility in Riverview, FL. Organization (NPI-2).
NPI number1467181925
StatusActive
Last updated in NPPESJun 8, 2022
Details
- NPI
- 1467181925
- Entity type
- Organization (NPI-2)
- Legal business name
- Magnolia Fields Afch LLC
- Organization subpart
- No
- Enumeration date
- Jun 8, 2022
- Certification date
- Jun 8, 2022
- Last updated
- Jun 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
11309 Chilly Water CtRiverview, FL 33569-2059
Phone 813-507-5878
Mailing address
11309 Chilly Water CtRiverview, FL 33569-2059
Authorized official
Alaysha Clark
Director/Ceo
8135075878
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