# MAGNOLIA HOME CARE/PDN

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

## Provider details

- **NPI number:** 1669606463
- **Authorized official:** LANORA FAY MILLS RN (OWNER/PROGRAN DIRECTOR)
- **Authorized official phone:** (225) 268-0398

## Contact information

- **Practice address:** 11832 NEWCASTLE AVE, SUITE 1, BATON ROUGE, LA 70816-8997
- **Practice address phone:** (225) 268-0398
- **Mailing address:** 12073 W ENGLAND AVE, BATON ROUGE, LA 70814-7742
- **Mailing address phone:** (225) 268-0398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | PCA15162 | LA | Yes |

## Other

- **Enumeration date:** 05/07/2009
- **Last updated:** 05/07/2009