# MAGNOLIA MEMORY CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225886393
- **Authorized official:** SUSAN BILL RN, CDP (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (704) 840-2509

## Contact information

- **Practice address:** 1190 GOLD HILL RD, FORT MILL, SC 29708-8977
- **Practice address phone:** (803) 548-4078
- **Mailing address:** 2764 PLEASANT ROAD PMB 876, FORT MILL, SC 29708
- **Mailing address phone:** (704) 840-2509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2024
- **Last updated:** 05/13/2024