# MAGNOLIA HOME HEALTH, LLC DBA HOME INSTEAD SENIOR CARE

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

## Provider details

- **NPI number:** 1891324042
- **Authorized official:** SHANE THOMPSON (CO-OWNER/PRESIDENT)
- **Authorized official phone:** (904) 502-5990

## Contact information

- **Practice address:** 6709 FOREST PARK DRIVE, SUITE B, SAVANNAH, GA 31406
- **Practice address phone:** (912) 355-0099
- **Practice address fax:** (912) 355-0181
- **Mailing address:** 6709 FOREST PARK DRIVE, SUITE B, SAVANNAH, GA 31406
- **Mailing address phone:** (912) 355-0099
- **Mailing address fax:** (912) 355-0181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 04/08/2020
- **Last updated:** 04/08/2020