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

Magnolia Manor Assisted Living, Inc

Organization Assisted Living Facility · NPI 1982951067

Magnolia Manor Assisted Living, Inc is an Assisted Living Facility in Lutz, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

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

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL12096 (FL)

Record details

NPI number1982951067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Keithly — President · (813) 918-0588
NPI enumeratedAugust 8, 2012
Last updated in NPPESAugust 8, 2012
Mailing address17420 Old Tobacco Rd, Lutz, FL 33558-4979

Other providers in Lutz