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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