Organization
MAGNOLIA ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SEDACCA JD (PRESIDENT/CEO)
(214) 557-1074
Entity
Organization
Contact information
Practice address
152 SOUTH ST, CALAIS, ME 04619-1324
(214) 557-1074
(214) 594-7127
Mailing address
5012 BRIDGE CREEK DR, PLANO, TX 75093-5702
(214) 557-1074
(214) 594-7127
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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