Organization
MAGNOLIA HEALTHCARE LLC
Active
Other names
Magnolia Respiratory and Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN R MCCULLOUGH CRTT (OPERATING MEMBER PRESIDENT)
(352) 812-9358
Entity
Organization
Contact information
Practice address
1540 SW 5TH AVE, 103, OCALA, FL 34471-0600
(352) 812-9358
Mailing address
303 SE 17TH ST, 309-108, OCALA, FL 34471-4421
(352) 812-9358
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
01/28/2007
Last updated
08/04/2008
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