Magnolia Manor Senior Day Program, Llc

LBN: Magnolia Manor Senior Day Program, Llc
Magnolia Manor Senior Day Program, Llc is an health care organization with primary practice located at 141 Barks Dr , Fort Walton Beach FL 32547-6774. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Magnolia Manor Senior Day Program, Llc can be contacted via phone (850) 225-2985, or through O'Neal, Sara A. via phone (850) 362-6556.

Contact Information

Primary practice address
141 Barks Dr Fort Walton Beach FL 32547-6774
Phone: (850) 225-2985
Fax:
Website:
Map and Directions
Authorized official contact:
Name: O'Neal, Sara A. Certified in Nursing Administration (CNA)
Phone: (850) 362-6556

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1700214400
LBN Legal business name Magnolia Manor Senior Day Program, Llc
DBA Doing business as
Authorized official O'Neal, Sara A. Certified in Nursing Administration (CNA)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2013
Last updated Oct 16th, 2013 - about 11 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 1700214400 NPPES
Florida MEDICAID 000706400

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