Magnolia Manor Management INC

NPI #1639379902 in Jefferson, Texas

Provider Information

NPI Number
1639379902
Entity Type
Organization
Organization Name
Magnolia Manor Management INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 24, 2007
Last Updated
Jul 24, 2007

Practice Location

Address
510 E BONHAM ST
State
Texas
ZIP Code
75657-1506
Phone
(903) 665-3903

Authorized Official

Name
MR. WAYNE POWELL
Title
DIRECTOR
Phone
(469) 293-0002

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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