Magnolia Pec, LLC
NPI #1053913442 in Laurel, Mississippi
Provider Information
- NPI Number
- 1053913442
- Entity Type
- Organization
- Organization Name
- Magnolia Pec, LLC
- Primary Specialty
- Clinic/Center - Medically Fragile Infants and Children Day Care
- Enumeration Date
- Nov 11, 2020
- Last Updated
- Feb 28, 2023
Practice Location
- Address
- 404 N 12TH AVE
- City
- Laurel
- State
- Mississippi
- ZIP Code
- 39440-3876
- Phone
- (601) 682-1250
Authorized Official
- Name
- ELIZABETH BRISTER
- Title
- OWNER
- Phone
- (318) 323-1930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medically Fragile Infants and Children Day Care — Medically Fragile Infants and Children Day Care |
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