# MAGNOLIA RESIDENTIAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Residential Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861172512
- **Authorized official:** MRS. SONIA ROGEL (OWNER)
- **Authorized official phone:** (702) 912-9930

## Contact information

- **Practice address:** 3813 MAVERICK ST, LAS VEGAS, NV 89108-5126
- **Practice address phone:** (702) 912-9930
- **Practice address fax:** (725) 205-4501
- **Mailing address:** 3813 MAVERICK ST, LAS VEGAS, NV 89108-5126
- **Mailing address phone:** (702) 912-9930
- **Mailing address fax:** (725) 205-4501

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2023
- **Last updated:** 07/28/2023