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Organization
MAGNOLIA HOME CARE AGENCY LLC
Active
Organization
MAGNOLIA HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LASHAY WARD (CO-OWNER)
(901) 212-1469
Entity
Organization
Contact information
Practice address
7927 IRONWOOD DR, SOUTHAVEN, MS 38671-4406
(901) 212-1469
Mailing address
7927 IRONWOOD DR, SOUTHAVEN, MS 38671-4406
(901) 212-1469
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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