Magnolia Bridge Llc

LBN: Magnolia Bridge Llc
Magnolia Bridge Llc is an health care organization with primary practice located at 1567 Huntington Ln , Clearwater FL 33755-1338. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Magnolia Bridge Llc can be contacted via phone (727) 225-4305, or through Fisher, Jasmine Marie via phone (727) 225-4305.

Contact Information

Primary practice address
1567 Huntington Ln Clearwater FL 33755-1338
Phone: (727) 225-4305
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Jasmine Marie
Phone: (727) 225-4305

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X

Profile Details

NPI number 1649021114
LBN Legal business name Magnolia Bridge Llc
DBA Doing business as
Authorized official Fisher, Jasmine Marie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2024
Last updated Apr 1st, 2024 - about last year

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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