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Organization
MAGNOLIA CARE SERVICES LLC
Active
Organization
MAGNOLIA CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHVADA MAGNOLIA TAYLOR RN (OWNER/ADMINISTRATOR)
(904) 625-7304
Entity
Organization
Contact information
Practice address
2439 CLUB LAKE DR, ORANGE PARK, FL 32065-2682
(904) 625-7304
Mailing address
2439 CLUB LAKE DR, ORANGE PARK, FL 32065-2682
(904) 625-7304
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
11/02/2018
Last updated
11/26/2018
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