THE MAGNOLIA
NPI 1649557604
Assisted Living Facility in Texarkana, TX
- Organization
- Assisted Living Facility
About THE MAGNOLIA
This page provides the complete NPI Profile along with additional information for The Magnolia, a provider established in Texarkana, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1649557604 assigned on November 2011. The practitioner's primary taxonomy code is 310400000X with license number 104639 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as The Magnolia. The authorized official of this NPI record is Mr. Antonio Otero (Administrator)
- NPI
- 1649557604 Verify this NPI
- Provider Legal Name
- OLMM PROPERTIES, LLC.
- Other Organization Name
- THE MAGNOLIA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4205 RICHMOND MDWS TEXARKANA, TX 75503
- Location Phone
- (903) 838-7319
- Location Fax
- (903) 838-0494
- Mailing Address
- 4205 RICHMOND MDWS TEXARKANA, TX 75503
- Mailing Phone
- (903) 838-7319
- Mailing Fax
- (903) 838-0494
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-04-2011
- Last Update Date
- 11-04-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 104639
- License State
- TX
- Taxonomy Description
- 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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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649557604, enumerated as an "organization" on November 04, 2011.
The provider is located at 4205 RICHMOND MDWS TEXARKANA, TX 75503 and the phone number is (903) 838-7319.
Assisted Living Facility with taxonomy code 310400000X.
