Provider Demographics
NPI:1205245578
Name:MAGALIE EMILCAR ADULT FAMILY CARE HOME LLC
Entity type:Organization
Organization Name:MAGALIE EMILCAR ADULT FAMILY CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAGALIE
Authorized Official - Middle Name:OLISTIN
Authorized Official - Last Name:EMILCAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-572-7051
Mailing Address - Street 1:103 W OCEAN DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-4338
Mailing Address - Country:US
Mailing Address - Phone:561-572-7051
Mailing Address - Fax:561-735-7874
Practice Address - Street 1:103 W OCEAN DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-4338
Practice Address - Country:US
Practice Address - Phone:561-572-7051
Practice Address - Fax:561-735-7874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6906675310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility