Organization
MAGNOLIA PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J HARRINGTON MBA (ADMINISTRATOR)
(601) 798-4007
Entity
Organization
Contact information
Practice address
174 CLIFF MITCHELL RD, PICAYUNE, MS 39466-7982
(601) 798-4007
Mailing address
174 CLIFF MITCHELL RD, PICAYUNE, MS 39466-7982
(601) 798-4007
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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