Organization
ANNIES ALF AT MAGNOLIA MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONIA BOYKINS (ADMINISTRATOR)
(813) 494-7116
Entity
Organization
Contact information
Practice address
17420 OLD TOBACCO RD, LUTZ, FL 33558-4979
(813) 918-0588
(813) 264-1710
Mailing address
13444 CANOPY CREEK DR, TAMPA, FL 33625-5916
(813) 494-7116
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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