Magnolia Nursing Center LLC
Skilled Nursing Facility in Jackson, MS. Organization (NPI-2).
NPI number1366426082
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1366426082
- Entity type
- Organization (NPI-2)
- Legal business name
- Magnolia Nursing Center LLC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 404 | MS | Yes |
Practice location
3701 Peter Quinn DrJackson, MS 39213-3309
Phone 601-366-1712 · Fax 601-366-1715
Mailing address
3701 Peter Quinn DrJackson, MS 39213-3309
Phone 601-366-1712 · Fax 601-366-1715
Authorized official
Tina L Ellis
Comptroller
6013040980
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