Magnolia Personal Care Home
NPI #1316177595 in Picayune, Mississippi
Provider Information
- NPI Number
- 1316177595
- Entity Type
- Organization
- Organization Name
- Magnolia Personal Care Home
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 22, 2009
- Last Updated
- Jul 22, 2009
Practice Location
- Address
- 174 CLIFF MITCHELL RD
- City
- Picayune
- State
- Mississippi
- ZIP Code
- 39466-7982
- Phone
- (601) 798-4007
Authorized Official
- Name
- MR. JOHN J HARRINGTON, MBA
- Title
- ADMINISTRATOR
- Phone
- (601) 798-4007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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