Organization
MAGNOLIA HEALTH CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEDDY RAY PRICE (OWNER)
(318) 445-4559
Entity
Organization
Contact information
Practice address
3840 INDEPENDENCE DR, SUITE B, ALEXANDRIA, LA 71303-3533
(318) 445-4559
(318) 445-4656
Mailing address
PO BOX 12957, ALEXANDRIA, LA 71315-2957
(318) 445-4559
(318) 445-4656
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1393452
—
LA
Enumeration date
10/23/2006
Last updated
05/03/2013
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