The Magnolia School, INC

NPI #1770759532 in Jefferson, Louisiana

Provider Information

NPI Number: 1770759532
Entity Type: Organization
Organization Name: The Magnolia School, INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 1, 2008
Last Updated: May 1, 2008

Practice Location

Address: 100 CENTRAL AVE
City: Jefferson
State: Louisiana
ZIP Code: 70121-3402
Phone: (504) 731-1303

Authorized Official

Name: MELANIE A BECK
Title: CONTROLLER
Phone: (504) 731-1303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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