Magnolia Nursing Center LLC
NPI #1366426082 in Jackson, Mississippi
Provider Information
- NPI Number
- 1366426082
- Entity Type
- Organization
- Organization Name
- Magnolia Nursing Center LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 6, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3701 PETER QUINN DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39213-3309
- Phone
- (601) 366-1712
Authorized Official
- Name
- MRS. TINA L ELLIS
- Title
- COMPTROLLER
- Phone
- (601) 304-0980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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