Organization
BLUE MAGNOLIA PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE GAYLE (MANAGING MEMBER)
(407) 703-7406
Entity
Organization
Contact information
Practice address
2218 PALMETUM LOOP, APOPKA, FL 32712-6066
(407) 703-7406
Mailing address
PO BOX 1029, APOPKA, FL 32704-1029
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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