Organization
MAGNOLIA VILLAGE HEALTH CENTER LLC
Active
Other names
Magnolia Village
Organization subpart
No
Provider details
NPI number
Authorized official
MAYER FISCHL (OWNER/MANAGING MEMBER)
(718) 757-6399
Entity
Organization
Contact information
Practice address
1381 CAMPBELL LANE, BOWLING GREEN, KY 42104
(270) 843-0587
Mailing address
300 PROVIDER COURT, RICHMOND, KY 40475
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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