Organization
MAGNOLIA GRACE SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINITRA N WRICE (SOLE MBR)
(904) 855-5114
Entity
Organization
Contact information
Practice address
910 S 8TH ST STE 130, FERNANDINA BEACH, FL 32034-6700
(904) 656-1315
Mailing address
910 S 8TH ST STE 130, FERNANDINA BEACH, FL 32034-6700
(904) 656-1315
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
07/17/2024
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