Organization
MAGNOLIA ANGELS HEALTHCARE STAFFING LLC
Active
Other names
Magnolia Angels Healthcare Staffing LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MYKESHIA TAYLOR (ADMINISTRATOR)
(317) 688-8204
Entity
Organization
Contact information
Practice address
635 E 106TH ST, INDIANAPOLIS, IN 46280-1329
(317) 220-8499
Mailing address
635 E 106TH ST, INDIANAPOLIS, IN 46280-1329
(317) 220-8499
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/30/2020
Last updated
08/31/2020
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