Organization
MAGNOLIA LANE LLC
Active
Other names
Forest Hill Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY B TEW OWNER (ADMINISTRATOR)
(910) 425-8751
Entity
Organization
Contact information
Practice address
3510 CAMDEN RD, FAYETTEVILLE, NC 28306-7717
(910) 425-8751
(910) 644-1257
Mailing address
3510 CAMDEN RD, FAYETTEVILLE, NC 28306-7717
(910) 425-8751
(910) 644-1257
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
SCL026031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805591
—
NC
Enumeration date
01/17/2008
Last updated
01/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us