Organization
MAGNOLIAS OF EUTAWVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LOCKWOOD (DIRECTOR)
(631) 579-2186
Entity
Organization
Contact information
Practice address
12488 OLD NUMBER SIX HWY, EUTAWVILLE, SC 29048-9167
(631) 241-5738
Mailing address
12488 OLD NUMBER SIX HWY, EUTAWVILLE, SC 29048-9167
(631) 241-5738
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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