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

Magnolia Retirement Home Inc

Organization Assisted Living Facility · NPI 1922307586

Magnolia Retirement Home Inc is an Assisted Living Facility in Sebring, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

149 Magnolia Ave
Sebring, FL 33870-3613
Phone: (863) 382-2116
Fax: (863) 382-2117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL4947 (FL)
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X · Licence AL4947 (FL)

Record details

NPI number1922307586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuel Domisiw — Owner/Administrator · (863) 382-2116
NPI enumeratedMarch 22, 2011
Last updated in NPPESMarch 22, 2011
Mailing address149 Magnolia Ave, Sebring, FL 33870-3613

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