Organization
MAGNOLIA GARDENS, INC.
Active
Other names
Magnolia Gardens of Warrenton
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM SIMPSON (CEO)
(252) 535-5006
Entity
Organization
Contact information
Practice address
1010 E 9TH ST, ROANOKE RAPIDS, NC 27870-3046
(252) 535-5006
Mailing address
PO BOX 2042, ROANOKE RAPIDS, NC 27870-1242
(252) 535-5006
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-0093-005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803373
—
NC
Enumeration date
02/28/2007
Last updated
08/22/2020
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