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Organization
MAGNOLIA ANGELS HEALTHCARE STAFFING LLC
Active
Organization
MAGNOLIA ANGELS HEALTHCARE STAFFING LLC
Active
Other names
Magnolia Angels Healthcare Staffing LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MYKESHIA TAYLOR (ADMINISTRATOR)
(317) 688-8204
Entity
Organization
Contact information
Practice address
635 E 106TH ST, INDIANAPOLIS, IN 46280-1329
(317) 220-8499
Mailing address
635 E 106TH ST, INDIANAPOLIS, IN 46280-1329
(317) 220-8499
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/30/2020
Last updated
08/31/2020
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