Organization
MAGNOLIA HEALTHCARE CENTER LLC GROUP
Active
Parent organization
MAGNOLIA HEALTHCARE CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA HEALTHCARE CENTER LLC
Authorized official
MS. JEANNE H BUTTERWORTH (MEMBER)
(410) 527-4083
Entity
Organization
Contact information
Practice address
2642 N DUDNEY RD, MAGNOLIA, AR 71753-4305
(870) 234-7000
(870) 234-7168
Mailing address
2642 N DUDNEY RD, MAGNOLIA, AR 71753-4305
(870) 234-7000
(870) 234-7168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01537
AR
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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