Organization
MAGNOLIA MANOR OF PALM COAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUANITA MARZAN CASTANEDA M.D. (PART OWNER)
(216) 214-6176
Entity
Organization
Contact information
Practice address
35 BURNING SANDS LN, PALM COAST, FL 32137-8808
(386) 447-8562
(386) 447-8563
Mailing address
35 BURNING SANDS LN, PALM COAST, FL 32137-8808
(386) 447-8562
(386) 447-8563
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9708
FL
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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