Magnolia Bridge LLC
Magnolia Bridge LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Clearwater, Florida. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1567 Huntington LnClearwater, FL 33755-1338
Phone: (727) 225-4305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|---|
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X |
Record details
| NPI number | 1649021114 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jasmine Fisher — Manager · (727) 225-4305 |
| NPI enumerated | April 1, 2024 |
| Last updated in NPPES | April 1, 2024 |
| Certification date | April 1, 2024 |
| Mailing address | 1345 Sandy Ln, Clearwater, FL 33755-2042 |
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