Magnolia Provider Services,inc

NPI #1750694394 in Donna, Texas

Provider Information

NPI Number: 1750694394
Entity Type: Organization
Organization Name: Magnolia Provider Services,inc
Primary Specialty: Home Health
Enumeration Date: Jul 26, 2010
Last Updated: Jul 26, 2010

Practice Location

Address: 1001 E BUS 83
City: Donna
State: Texas
ZIP Code: 78537
Phone: (956) 461-6747

Authorized Official

Name: ANNETTE GONZALEZ, RN
Title: CONSULTANT
Phone: (956) 461-6747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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