Organization
MAGNOLIA MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL L SAYEN RN (ADMINISTRATOR)
(907) 631-3354
Entity
Organization
Contact information
Practice address
751 N SOMERET CIR, WASILLA, AK 99654
(907) 631-3354
(907) 631-3354
Mailing address
PO BOX 874464, WASILLA, AK 99687-4464
(907) 631-3354
(907) 631-3354
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101107
AK
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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