Organization
MAGNOLIA REGIONAL HEALTH CENTER
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Other names
MRHC - Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
MRS. MARQUETTA TRICE LPN, LBSW, MPH, MBA (HOMECARE DIRECTOR)
(662) 293-1401
Entity
Organization
Contact information
Practice address
1001 S HARPER RD, CORINTH, MS 38834-6646
(662) 293-1405
(662) 286-4242
Mailing address
1001 S HARPER RD, CORINTH, MS 38834-6646
(662) 293-1405
(662) 286-4242
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000386
TN STATE LICENSURE
TN
05
—
000070660
—
MS
01
—
000070943
HOME CARE AGENCY
MS
Enumeration date
12/21/2006
Last updated
09/05/2024
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