OrganizationActive
1 Magnolia Drive Operations LLC
NPI 1033391503 · Skilled Nursing Facility · La Plata, MD
Provider details
- NPI number
- 1033391503
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Michael Berg, Assistant Secretary
- License
- 08-005 (MD)
Practice location
1 Magnolia Dr
La Plata, MD 20646-9357
Phone: (301) 934-4001
Fax: (301) 934-6373
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Registry dates
- Enumerated
- 2007-11-27
- Last updated
- 2020-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.