MAGNOLIA RESIDENCE INC NPI 1639506298

NPI Information

NPI: 1639506298
Provider Name: MAGNOLIA RESIDENCE INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4838 NW 93RD TER
SUNRISE, FL
ZIP 33351
Phone: (954) 748-6996
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MAGNOLIA RESIDENCE INC is an assisted living facility in Sunrise, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MAGNOLIA RESIDENCE INC NPI is 1639506298. The provider is registered as an organization entity type.

The provider's business location address is:

4838 NW 93RD TER
SUNRISE, FL
ZIP 33351-220
Phone: (954) 748-6996

The provider's authorized official is Sugrim Seewah .
The authorized official title is President/administrator and has the following contact phone number (954) 748-6996.

The enumeration date for this NPI number is 9/27/2013 and was last updated on 9/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		AL10242	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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