Organization
MAGNOLIA HEALTHCARE LLC
Active
Other names
Magnolia Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MADINA SORENSEN (PRESIDENT)
(720) 661-9498
Entity
Organization
Contact information
Practice address
6275 W 68TH CIR, ARVADA, CO 80003-4165
(720) 661-9498
Mailing address
6275 W 68TH CIR, ARVADA, CO 80003-4165
(720) 661-9498
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000212230
—
CO
Enumeration date
10/11/2022
Last updated
08/10/2024
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