Magnolia House L.p.
NPI #1245434109 in Natchez, Mississippi
Provider Information
- NPI Number
- 1245434109
- Entity Type
- Organization
- Organization Name
- Magnolia House L.p.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 13, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 311 HIGHLAND BLVD
- City
- Natchez
- State
- Mississippi
- ZIP Code
- 39120-4635
- Phone
- (601) 446-5097
Authorized Official
- Name
- MR. CAMERON DIRK GODDARD
- Title
- AR MANAGER
- Phone
- (601) 824-9010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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