# MAGNOLIA HOME CARE LLC

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

## Provider details

- **NPI number:** 1366816985
- **Authorized official:** MRS. CHARITY D FORD MSW (PRESIDENT)
- **Authorized official phone:** (757) 831-2968

## Contact information

- **Practice address:** 921 LEE SHORE COURT, CHESAPEAKE, VA 23320-0734
- **Practice address phone:** (866) 866-2465
- **Practice address fax:** (866) 866-2465
- **Mailing address:** 921 LEE SHORE CT, CHESAPEAKE, VA 23320-0734
- **Mailing address phone:** (866) 866-2465
- **Mailing address fax:** (866) 866-2465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 0001062 | CT | Yes |

## Other

- **Enumeration date:** 11/19/2015
- **Last updated:** 10/06/2016