Organization · Type 2 NPI
Magnolia Bridge LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Clearwater, FL
Practice location
1567 Huntington Ln
Clearwater, FL 33755-1338
Mailing address
1345 Sandy Ln
Clearwater, FL 33755-2042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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About NPI 1649021114
Magnolia Bridge LLC's National Provider Identifier is 1649021114, issued on Apr 1, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Clearwater, FL. The record was last updated on Apr 1, 2024.