Magnolia Lane Llc in Fayetteville - Assisted Living Facility
Magnolia Lane Llc - NPI 1740466937
Magnolia Lane Llc is a Assisted Living Facility in Fayetteville, North Carolina. Magnolia Lane Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Magnolia Lane Llc is 1740466937. The last update date is 2008-01-17.
Magnolia Lane Llc's current location address is 3510 Camden Rd, Fayetteville, North Carolina. You can contact this provider via phone number 9104258751 and fax number 9106441257. The mailing address for Magnolia Lane Llc is 3510 Camden Rd, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Magnolia Lane Llc |
|---|---|
| Address | 3510 Camden Rd, Fayetteville, North Carolina |
| Phone Number | 9104258751 |
| Fax Number | 9106441257 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Tew B Judy |
| Credentials | OWNER |
| Telephone Number | 9104258751 |
NPI Number Detail
| NPI Number | 1740466937 |
|---|---|
| Provider Enumeration Date | 2008-01-17 |
| Last Updated Date | 2008-01-17 |
Provider Mailing Address Detail
| Address | 3510 Camden Rd |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283067717 |
| Phone Number | 9104258751 |
| Fax Number | 9106441257 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | SCL026031 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805591 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Magnolia Lane Llc by the Centers for Medicare & Medicaid Services?
The Magnolia Lane Llc has been assigned the NPI (National Provider Identifier) 1740466937. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Magnolia Lane Llc is physically located?
The Magnolia Lane Llc is physically situated at the following address: 3510 Camden Rd, Fayetteville, NC, 283067717.
What is Magnolia Lane Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Magnolia Lane Llc is Assisted Living Facility, and the corresponding taxonomy classification code for this specialized field is 310400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740466937 to Magnolia Lane Llc?
The Centers for Medicare & Medicaid Services assigned the 1740466937 to Magnolia Lane Llc on 2008-01-17.
As of what date was the information pertaining to Magnolia Lane Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Magnolia Lane Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-17.