# MAGNOLIA ANGELS HEALTHCARE STAFFING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Angels Healthcare Staffing LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174136915
- **Authorized official:** MYKESHIA TAYLOR (ADMINISTRATOR)
- **Authorized official phone:** (317) 688-8204

## Contact information

- **Practice address:** 635 E 106TH ST, INDIANAPOLIS, IN 46280-1329
- **Practice address phone:** (317) 220-8499
- **Mailing address:** 635 E 106TH ST, INDIANAPOLIS, IN 46280-1329
- **Mailing address phone:** (317) 220-8499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | — | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2020
- **Last updated:** 08/31/2020