# MAGNOLIA LIVING CENTER, LLC

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

## Provider details

- **NPI number:** 1760409858
- **Authorized official:** MR. JOHN F. SWIFT (VP & CFO)
- **Authorized official phone:** (864) 269-3725

## Contact information

- **Practice address:** 201 N ELLIS AVE, DUNN, NC 28334-3806
- **Practice address phone:** (910) 892-4021
- **Practice address fax:** (910) 892-2965
- **Mailing address:** 101 GRACE DR, EASLEY, SC 29640-9088
- **Mailing address phone:** (864) 269-3725
- **Mailing address fax:** (864) 295-3383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0144 | NC | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 03/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3415173 | — | NC |
| 05 | — | 3416125 | — | NC |
| 05 | — | 3425173 | — | NC |
| 05 | — | 3426125 | — | NC |