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Organization
MAGNOLIA ADULT CARE LLC
Active
Organization
MAGNOLIA ADULT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SOCORRO SMITH (OWNER/ADMINISTRATOR)
(770) 706-2195
Entity
Organization
Contact information
Practice address
2176 SOQUE RIVER DR, DULUTH, GA 30097-8100
(770) 706-2195
Mailing address
2615 PEACHTREE INDUSTRIAL BLVD, STE J #2138, DULUTH, GA 30097
(770) 706-2195
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
Other
Enumeration date
08/27/2025
Last updated
05/05/2026
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