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Organization

MAGNOLIA HOUSE ASSISTED LIVING FACILITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL R CHAPMAN (CHIEF FINANCIAL OFFICER)
(321) 543-3903
Entity
Organization

Contact information

Practice address
103 YACHT HAVEN DRIVE, COCOA BEACH, FL 32931
(321) 543-3903
Mailing address
103 YACHT HAVEN DRIVE, COCOA BEACH, FL 32931
(321) 543-3903

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
04/20/2015
Last updated
04/20/2015
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