Magnolia Personal Care LLC
NPI #1912531427 in Fayette, Mississippi
Provider Information
- NPI Number
- 1912531427
- Entity Type
- Organization
- Organization Name
- Magnolia Personal Care LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Feb 24, 2020
- Last Updated
- Mar 5, 2020
Practice Location
- Address
- 69 BO STAMPLEY RD
- City
- Fayette
- State
- Mississippi
- ZIP Code
- 39069-4879
- Phone
- (601) 786-1303
Authorized Official
- Name
- MRS. FERLESHA KELLY
- Title
- PRESIDENT
- Phone
- (601) 786-1303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
| In Home Supportive Care |
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