Organization
THE MAGNOLIA SCHOOL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE A. BECK (CONTROLLER)
(504) 731-1303
Entity
Organization
Contact information
Practice address
100 CENTRAL AVE, JEFFERSON, LA 70121-3402
(504) 731-1303
Mailing address
100 CENTRAL AVE, JEFFERSON, LA 70121-3402
(504) 731-1303
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029645
—
LA
Enumeration date
01/18/2008
Last updated
02/15/2008
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