Organization
MAGNOLIA HEALTHCARE, INC.
Active
Other names
Riverview Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD THOMAS DASPIT SR. (CEO)
(225) 906-4644
Entity
Organization
Contact information
Practice address
1600 W CLAIBORNE AVE, GREENWOOD, MS 38930-2753
(662) 453-8140
(662) 455-3973
Mailing address
PO BOX 40018, BATON ROUGE, LA 70835-0018
(225) 753-0864
(225) 753-0948
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
585
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220308
—
MS
Enumeration date
02/28/2007
Last updated
09/11/2019
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