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Organization
MAGNOLIA HOME CARE, INC.
Active
Organization
MAGNOLIA HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BARR LSW (OWNER)
(662) 719-8491
Entity
Organization
Contact information
Practice address
918 NINTH AVE, CLEVELAND, MS 38732-3638
(662) 719-8491
Mailing address
918 NINTH AVE, CLEVELAND, MS 38732-3638
(662) 719-8491
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770590
—
MS
Enumeration date
08/31/2011
Last updated
08/31/2011
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