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Organization

MAGNOLIA HEALTHCARE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARGARET COATS (MDS CO ORDINATOR)
(870) 234-7000
Entity
Organization

Contact information

Practice address
600 LELIA ST, MAGNOLIA, AR 71753-4035
(870) 234-7000
(870) 234-7168
Mailing address
600 LELIA ST, MAGNOLIA, AR 71753-4035
(870) 234-7000
(870) 234-7168

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
746
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154004311
AR
Enumeration date
10/10/2005
Last updated
04/09/2008
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