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Organization
MAGNOLIA HOME CARE SERVICE LLC
Active
Organization
MAGNOLIA HOME CARE SERVICE LLC
Active
Other names
MAGNOLIA HOME CARE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEIRA WRIGHT (AMINISTRATOR)
(912) 319-7273
Entity
Organization
Contact information
Practice address
11215 ABERCORN ST STE 9, SAVANNAH, GA 31419-1820
(912) 319-7273
(833) 784-6257
Mailing address
11215 ABERCORN ST STE 9, SAVANNAH, GA 31419-1820
(912) 319-7273
(833) 784-6257
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
314000000X
Skilled Nursing Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003230964A
—
GA
05
—
003230964B
—
GA
Enumeration date
10/30/2018
Last updated
06/19/2023
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