Organization
MAGNOLIA SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA BLAKEY LPN (LPN/EXECUTIVE DIRECTOR)
(813) 213-8967
Entity
Organization
Contact information
Practice address
3935 UPPER CREEK DR, SUN CITY CENTER, FL 33573-6876
(813) 213-8967
(813) 535-7990
Mailing address
3935 UPPER CREEK DR, SUN CITY CENTER, FL 33573-6876
(813) 213-8967
(813) 535-7990
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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