MAGNOLIA FIELDS AFCH LLC NPI 1467181925

NPI Information

NPI: 1467181925
Provider Name: MAGNOLIA FIELDS AFCH LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
11309 CHILLY WATER CT
RIVERVIEW, FL
ZIP 33569
Phone: (813) 507-5878
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MAGNOLIA FIELDS AFCH LLC is an assisted living facility in Riverview, 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 FIELDS AFCH LLC NPI is 1467181925. The provider is registered as an organization entity type.

The provider's business location address is:

11309 CHILLY WATER CT
RIVERVIEW, FL
ZIP 33569-059
Phone: (813) 507-5878

The provider's authorized official is Alaysha Clark .
The authorized official title is Director/ceo and has the following contact phone number (813) 507-5878.

The enumeration date for this NPI number is 6/8/2022 and was last updated on 6/8/2022.

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				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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