Organization · Type 2 NPI

Magnolia Lane LLC

Assisted Living Facility · Fayetteville, NC

NPI number 1740466937 Active

Practice location

3510 Camden Rd
Fayetteville, NC 28306-7717

Call (910) 425-8751 Map

Fax (910) 644-1257

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XSCL026031 (NC)

Assisted Living Facility: 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.

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About NPI 1740466937

Magnolia Lane LLC's National Provider Identifier is 1740466937, issued on Jan 17, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fayetteville, NC. The record was last updated on Jan 17, 2008.