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Organization

MAGNOLIA REGIONAL MEDICAL CENTER

Active
Other names
Magnolia Home Health Agency
Organization subpart
No

Provider details

NPI number
Authorized official
MR. REX E JONES (CHIEF EXECUTIVE OFFICER)
(870) 235-3212
Entity
Organization

Contact information

Practice address
833 N WASHINGTON, MAGNOLIA, AR 71753
(870) 235-3598
(870) 235-3677
Mailing address
PO BOX 629, MAGNOLIA, AR 71754-0629
(870) 235-3598
(870) 235-3677

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4240
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101604514
AR
01
17081
ABCBS
AR
Enumeration date
07/21/2006
Last updated
01/17/2017
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