Organization
MAGNOLIA LANE LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up