Organization
MAGNOLIA MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA CIUTAC (MANAGING EMPLOYEE)
(602) 348-1789
Entity
Organization
Contact information
Practice address
14221 N 136TH LN, SURPRISE, AZ 85379-8453
(602) 348-1789
(623) 292-5977
Mailing address
14221 N 136TH LN, SURPRISE, AZ 85379-8453
(602) 348-1789
(623) 292-5977
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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