# MAGNOLIA GARDENS ASSISTED LIVING HOME

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

## Provider details

- **NPI number:** 1336431873
- **Authorized official:** MR. EDWARD ROBERTS SR. (ADMINISTRATOR)
- **Authorized official phone:** (843) 423-8222

## Contact information

- **Practice address:** 1200 NORTH MAIN ST., MARION, SC 29571-2029
- **Practice address phone:** (843) 423-8222
- **Practice address fax:** (843) 423-6622
- **Mailing address:** 1200 NORTH MAIN ST., MARION, SC 29571-2029
- **Mailing address phone:** (843) 423-8222
- **Mailing address fax:** (843) 423-6622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | SC | Yes |

## Other

- **Enumeration date:** 05/03/2011
- **Last updated:** 12/20/2011