Organization
MAGNOLIA RESIDENTIAL CARE
Active
Other names
Magnolia Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONIA ROGEL (OWNER)
(702) 912-9930
Entity
Organization
Contact information
Practice address
3813 MAVERICK ST, LAS VEGAS, NV 89108-5126
(702) 912-9930
(725) 205-4501
Mailing address
3813 MAVERICK ST, LAS VEGAS, NV 89108-5126
(702) 912-9930
(725) 205-4501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/28/2023
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