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Magnolia Home Inc
Developmental Disabilities Clinic/Center in Port Saint Lucie, Florida
NPI 1225528094

Magnolia Home Inc is a Developmental Disabilities Clinic/Center based in Port Saint Lucie, FL and is specialized in Developmental Disabilities. Magnolia Home Inc practices in Port Saint Lucie, FL. The NPI Number for Magnolia Home Inc is 1225528094 and holds a License No. (Florida).

The current practice location address for Magnolia Home Inc is 918 Sw Idol Ave, Port Saint Lucie, FL and can be reached out via phone at 772-626-1413.

Location: 918 Sw Idol Ave, Port Saint Lucie, FL, 34953-6728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225528094
Provider Name
Magnolia Home Inc
Credential
Provider Entity Type
Organization
Address
918 Sw Idol Ave, Port Saint Lucie, FL, 34953-6728
Phone Number
772-626-1413
Fax Number
Provider Enumeration Date
05/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
918 Sw Idol Ave
City
Port Saint Lucie
State
Florida
Zip
34953-6728
Phone Number
772-626-1413
Fax Number
person
Provider Business Mailing Address Details
Address
918 Sw Idol Ave
City
Port Saint Lucie
State
Florida
Zip
34953-6728
Phone Number
772-626-1413
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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