Organization
MAGNOLIA ADULT DAY HABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA AVLONITIS (CO-OWNER)
(201) 838-6655
Entity
Organization
Contact information
Practice address
2300 3RD ST, FORT LEE, NJ 07024-4016
(201) 838-6655
(201) 903-4646
Mailing address
316 E GLEN AVE, RIDGEWOOD, NJ 07450-1737
(201) 838-6655
(201) 903-4646
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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