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Magnolia Bridge Llc
Physical Disabilities Residential Treatment Facility in Clearwater, Florida
NPI 1649021114

Magnolia Bridge Llc is a Physical Disabilities Residential Treatment Facility based in Clearwater, FL. Magnolia Bridge Llc practices in Clearwater, FL. The NPI Number for Magnolia Bridge Llc is 1649021114 and holds a License No. (Florida).

The current practice location address for Magnolia Bridge Llc is 1567 Huntington Ln, Clearwater, FL and can be reached out via phone at 727-225-4305.

Location: 1567 Huntington Ln, Clearwater, FL, 33755-2042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649021114
Provider Name
Magnolia Bridge Llc
Credential
Provider Entity Type
Organization
Address
1567 Huntington Ln, Clearwater, FL, 33755-2042
Phone Number
727-225-4305
Fax Number
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1567 Huntington Ln
City
Clearwater
State
Florida
Zip
33755-1338
Phone Number
727-225-4305
Fax Number
person
Provider Business Mailing Address Details
Address
1567 Huntington Ln
City
Clearwater
State
Florida
Zip
33755-1338
Phone Number
727-225-4305
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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