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MAGNOLA MANOR AT DAYTONA BEACH, LLC
NPI 1134675234
Assisted Living Facility in Daytona Beach, FL

Active since August 29, 2016
252 FOREST LAKE BLVD, DAYTONA BEACH, FL 32119(863) 226-0358 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 16, 2022, Jan 26, 2022, Aug 29, 2016 (3 updates tracked since 2016).

About Magnola Manor At Daytona Beach, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLA MANOR AT DAYTONA BEACH, LLC (NPI 1134675234) is a healthcare organization registered as an assisted living facility in Daytona Beach, Florida and active in the NPI registry since August 2016. The organization lists Savitri Johnson, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1134675234
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAGNOLA MANOR AT DAYTONA BEACH, LLC
Location Address252 FOREST LAKE BLVDDaytona Beach, FL 32119-8106
Mailing Address59 Lake Morton DrLakeland, FL 33801-5344
Phone(863) 226-0358
Organization SubpartNo
Authorized OfficialSavitri JohnsonAdministrative Assistant · (863) 226-0358
Enumeration DateAugust 29, 2016
Last NPPES UpdateFebruary 16, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1134675234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL8869
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.

252 FOREST LAKE BLVD, Daytona Beach, FL 32119
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Reviews for MAGNOLA MANOR AT DAYTONA BEACH, LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

SELAH - FOREST LAKE MANOR, LLC
Assisted Living Facility
252 FOREST LAKE BLVD
DAYTONA BEACH, FL 32119
Volusia County (386) 760-7174
VERITAS INCARE, LLC
Assisted Living Facility
252 FOREST LAKE BLVD
DAYTONA BEACH, FL 32119
Volusia County (386) 760-7174

Frequently Asked Questions

What is MAGNOLA MANOR AT DAYTONA BEACH, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1134675234, enumerated as an "organization" on August 29, 2016.

Where is the provider located?

The provider is located at 252 FOREST LAKE BLVD DAYTONA BEACH, FL 32119 and the phone number is (863) 226-0358.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.