Organization
MAGNOLIA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB TAUB (MEMBER)
(718) 838-1500
Entity
Organization
Contact information
Practice address
2642 N DUDNEY RD, MAGNOLIA, AR 71753-4305
(718) 838-1500
Mailing address
362 E KENNEDY BLVD, LAKEWOOD, NJ 08701-1434
(718) 838-1500
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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