# MAGNOLIA VILLAGE HEALTH CENTER LLC

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

## Provider details

- **NPI number:** 1952018681
- **Authorized official:** MAYER FISCHL (OWNER/MANAGING MEMBER)
- **Authorized official phone:** (718) 757-6399

## Contact information

- **Practice address:** 1381 CAMPBELL LANE, BOWLING GREEN, KY 42104
- **Practice address phone:** (270) 843-0587
- **Mailing address:** 300 PROVIDER COURT, RICHMOND, KY 40475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 11/02/2022