Organization
MAGNOLIA RESIDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUGRIM SEEWAH (PRESIDENT/ADMINISTRATOR)
(954) 748-6996
Entity
Organization
Contact information
Practice address
4838 NW 93RD TER, SUNRISE, FL 33351-5220
(954) 748-6996
Mailing address
4838 NW 93RD TER, SUNRISE, FL 33351-5220
(954) 748-6996
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10242
FL
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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