Organization
MAGNOLIA-TALL PINES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED SEDACCA (PRESIDENT)
(214) 557-1074
Entity
Organization
Contact information
Practice address
24 MARTIN LN, BELFAST, ME 04915-6099
(207) 903-7037
Mailing address
2500 DALLAS PKWY STE 410, PLANO, TX 75093-4886
(214) 828-6146
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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