Organization
MAGDAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA MUCHUGU (MANAGER)
(239) 372-6141
Entity
Organization
Contact information
Practice address
9405 CYPRESS LAKE DR STE 2, FORT MYERS, FL 33919-0909
(239) 372-6141
Mailing address
9405 CYPRESS LAKE DR STE 2, FORT MYERS, FL 33919-0909
(239) 372-6141
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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