The Magnolia

LBN: Forest Trail Of Clinton, Llc
The Magnolia is an health care organization with primary practice located at 213 Forest Trl , Clinton NC 28328-3353. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Forest Trail Of Clinton, Llc can be contacted via phone (910) 592-7506, or through Hallman, Tina A via phone (828) 322-5535.

Contact Information

Primary practice address
213 Forest Trl Clinton NC 28328-3353
Fax: (910) 592-7604
Website:
Authorized official contact:
Name: Hallman, Tina A

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL082014 North Carolina

Profile Details

NPI number 1699761718
LBN Legal business name Forest Trail Of Clinton, Llc
DBA Doing business as The Magnolia
Authorized official Hallman, Tina A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Dec 15th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699761718 NPPES
North Carolina MEDICAID 7805300

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