Organization
MAGNOLIA PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCARLETT GRIFFIN (DIRECTOR OF BILLING)
(501) 773-0234
Entity
Organization
Contact information
Practice address
1330 SW 7TH ST, BOCA RATON, FL 33486-8465
(501) 773-0234
(501) 679-5575
Mailing address
1330 SW 7TH ST, BOCA RATON, FL 33486-8465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
10/08/2014
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