Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annies Alf at Magnolia Manor

Organization Assisted Living Facility · NPI 1114814803

Annies Alf at Magnolia Manor is an Assisted Living Facility in Lutz, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

17420 Old Tobacco Rd
Lutz, FL 33558-4979
Phone: (813) 918-0588
Fax: (813) 264-1710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1114814803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latonia Boykins — Administrator · (813) 494-7116
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address13444 Canopy Creek Dr, Tampa, FL 33625-5916

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