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Magnolia Lane Llc
Assisted Living Facility in Fayetteville, North Carolina
NPI 1740466937

Magnolia Lane Llc is an Assisted Living Facility based in Fayetteville, NC. Magnolia Lane Llc practices in Fayetteville, NC. The NPI Number for Magnolia Lane Llc is 1740466937 and holds a License No. SCL026031 (North Carolina).

The current practice location address for Magnolia Lane Llc is 3510 Camden Rd, Fayetteville, NC and can be reached out via phone at 910-425-8751 and via fax at 910-644-1257.

Location: 3510 Camden Rd, Fayetteville, NC, 28306-7717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740466937
Provider Name
Magnolia Lane Llc
Credential
Provider Entity Type
Organization
Address
3510 Camden Rd, Fayetteville, NC, 28306-7717
Phone Number
910-425-8751
Fax Number
910-644-1257
Provider Enumeration Date
01/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805591 05 NC
institution
Provider Business Practice Location Address Details
Address
3510 Camden Rd
City
Fayetteville
State
North Carolina
Zip
28306-7717
Phone Number
910-425-8751
Fax Number
910-644-1257
person
Provider Business Mailing Address Details
Address
3510 Camden Rd
City
Fayetteville
State
North Carolina
Zip
28306-7717
Phone Number
910-425-8751
Fax Number
910-644-1257
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
SCL026031 (North Carolina)
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.
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