Magnolia of Madison, Inc.

NPI #1376547349 in Tallulah, Louisiana

Provider Information

NPI Number: 1376547349
Entity Type: Organization
Organization Name: Magnolia of Madison, Inc.
Primary Specialty: Home Health
Enumeration Date: Jun 8, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 708 LASALLE ST.
City: Tallulah
State: Louisiana
ZIP Code: 71282
Phone: (318) 574-6400

Authorized Official

Name: CARL LEN MACHEN, R.N.
Title: ADMINISTRATOR, DON
Phone: (318) 574-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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