Organization
MAGNOLIAS WAY LLC
Active
Organization
MAGNOLIAS WAY LLC
Active
Other names
Magnolias Way LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER V DACCHILLE CEO (CEO)
(786) 308-1676
Entity
Organization
Contact information
Practice address
1020 E COLLEGE ST, PULASKI, TN 38478-4547
(786) 308-1676
Mailing address
1020 E COLLEGE ST, PULASKI, TN 38478-4547
(786) 308-1676
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L000000028393
STATE LICENSE
TN
Enumeration date
06/17/2021
Last updated
06/17/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up