Organization
MAGNOLIS GARDENS, INC
Active
Organization
MAGNOLIS GARDENS, INC
Active
Other names
Magnolia Gardens Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM SIMPSON (CEO)
(252) 535-5006
Entity
Organization
Contact information
Practice address
829 ROANOKE AVE, ROANOKE RAPIDS, NC 27870-2717
(252) 308-1743
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
FCL-042-002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802782
—
NC
Enumeration date
02/28/2007
Last updated
08/22/2020
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