# MAGNOLIA HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oak River Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316005226
- **Authorized official:** JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (385) 988-3319

## Contact information

- **Practice address:** 3300 FRANKLIN ST, ANDERSON, CA 96007-3279
- **Practice address phone:** (530) 365-0025
- **Practice address fax:** (530) 365-0028
- **Mailing address:** 262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1316005226 | — | CA |
| 05 | — | LTC55147G | — | CA |