# MAGNOLIA HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043652704
- **Authorized official:** SUSANA GRAHAM RCP (MANAGING MEMBER)
- **Authorized official phone:** (602) 373-7052

## Contact information

- **Practice address:** 6560 SR 179 STE 208, SEDONA, AZ 86351-6923
- **Practice address phone:** (928) 284-1500
- **Practice address fax:** (866) 284-2849
- **Mailing address:** PO BOX 20015, SEDONA, AZ 86341-0015
- **Mailing address phone:** (928) 284-1500
- **Mailing address fax:** (866) 284-2849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2013
- **Last updated:** 08/13/2015