Organization
MARION COUNTY MANAGEMENT COMPANY
Active
Other names
MAGNOLIA MANOR NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA J COX (OWNER/ADMINISTRATOR)
(903) 665-3903
Entity
Organization
Contact information
Practice address
510 E BONHAM ST, JEFFERSON, TX 75657-1506
(903) 665-3903
(903) 665-2410
Mailing address
510 E BONHAM ST, JEFFERSON, TX 75657-1506
(903) 665-3903
(903) 665-2410
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
111101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45E462
—
TX
Enumeration date
04/19/2006
Last updated
08/22/2020
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