# MAGNOLIAS OF EUTAWVILLE

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

## Provider details

- **NPI number:** 1578336079
- **Authorized official:** SCOTT LOCKWOOD (DIRECTOR)
- **Authorized official phone:** (631) 579-2186

## Contact information

- **Practice address:** 12488 OLD NUMBER SIX HWY, EUTAWVILLE, SC 29048-9167
- **Practice address phone:** (631) 241-5738
- **Mailing address:** 12488 OLD NUMBER SIX HWY, EUTAWVILLE, SC 29048-9167
- **Mailing address phone:** (631) 241-5738

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2023
- **Last updated:** 11/06/2023