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Organization
MAGNOLIAS HOME HEALTH AGENCY, LLC
Active
Organization
MAGNOLIAS HOME HEALTH AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA MACK (PRESIDENT)
(912) 272-2991
Entity
Organization
Contact information
Practice address
1517 FOPPIANO LOOP, ROUND ROCK, TX 78665-5638
(912) 272-2991
Mailing address
1517 FOPPIANO LOOP, ROUND ROCK, TX 78665-5638
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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