Magnolia Community Services, INC

NPI #1801260468 in Jefferson, Louisiana

Provider Information

NPI Number
1801260468
Entity Type
Organization
Organization Name
Magnolia Community Services, INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Nov 19, 2015
Last Updated
Nov 19, 2015

Practice Location

Address
143 CENTRAL AVE
ZIP Code
70121-3401
Phone
(504) 304-5504

Authorized Official

Name
MRS. JENNIFER HEBERT
Title
EXECUTIVE DIRECTOR
Phone
(504) 731-1324

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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