Organization
MAGNOLIA CENTER
Active
Other names
MAGNOLIA CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ETHEL MAE COMEAUX NURSE (DIRECTOR)
(225) 273-7274
Entity
Organization
Contact information
Practice address
16950 FLORIDA BLVD, BATON ROUGE, LA 70819-3803
(225) 273-7274
(225) 073-7284
Mailing address
16950 FLORIDA BLVD, BATON ROUGE, LA 70819-3803
(225) 273-7274
(225) 273-7284
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
00881103
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00881103
NURSING CARE FACILITIES
LA
Enumeration date
07/29/2008
Last updated
07/29/2008
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