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MAGDAN LLC NPI 1609501428


NPI Information

NPI: 1609501428
Provider Name: MAGDAN LLC

Doing Business As: ZION HEALING CENTER FORT MYERS

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
9405 CYPRESS LAKE DR STE 2
FORT MYERS, FL
ZIP 33919
Phone: (239) 372-6141
Get Directions

MAGDAN LLC is an adult mental health clinic center in Fort Myers, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MAGDAN LLC NPI is 1609501428. The provider is registered as an organization entity type.
The provider Is Doing Business As Zion Healing Center Fort Myers.

The provider's business location address is:

9405 CYPRESS LAKE DR STE 2
FORT MYERS, FL
ZIP 33919-909
Phone: (239) 372-6141
Fax: (239) 936-3391

The provider's authorized official is Edna Muchugu .
The authorized official title is Manager and has the following contact phone number (239) 372-6141.

The enumeration date for this NPI number is 7/18/2022 and was last updated on 6/28/2023.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2261QM0850XClinic/CenterAdult Mental HealthYes

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

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