Organization
MAGNOLIA HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKIESHA LASHA MOORE (OWNER)
(901) 503-4036
Entity
Organization
Contact information
Practice address
971 OAKMONT PL APT 2, MEMPHIS, TN 38107-3210
(901) 503-4036
Mailing address
971 OAKMONT PL APT 2, MEMPHIS, TN 38107-3210
(901) 503-4036
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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