Organization
MAGNOLIA NA, LLC
Active
Other names
Magnolia Place of New Albany
Organization subpart
No
Provider details
NPI number
Authorized official
ART SHANNON (CHIEF OPERATING OFFICER)
16628913054
Entity
Organization
Contact information
Practice address
117 N BROADWAY ST, TUPELO, MS 38804-3901
(662) 840-3111
(662) 840-3119
Mailing address
1515 MUNSFORD DR, NEW ALBANY, MS 38652-7407
(662) 534-0046
(662) 534-0393
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
848
MS
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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