Provider Demographics
NPI:1396564217
Name:MAGNOLIA COMMUNITY CARE LLC
Entity type:Organization
Organization Name:MAGNOLIA COMMUNITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALOMON BELFOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-305-2282
Mailing Address - Street 1:350 MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-5743
Mailing Address - Country:US
Mailing Address - Phone:561-305-2282
Mailing Address - Fax:
Practice Address - Street 1:350 MAGNOLIA RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-5743
Practice Address - Country:US
Practice Address - Phone:561-305-2282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility