Organization
ALPHA MAGNOLIA GARDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIET OKWOSHAH (ADMINISTRATOR)
(919) 819-3882
Entity
Organization
Contact information
Practice address
930 HWY. 158 BUS. EAST, WARRENTON, NC 27589
(919) 819-3882
Mailing address
5842 FARINGDON PL STE 2, RALEIGH, NC 27609-3930
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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