Organization
MAGNOLIA HEALTHCARE, LLC
Active
Other names
Vital Care of Auburn
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J MANNING (OWNER)
(407) 992-8494
Entity
Organization
Contact information
Practice address
890 N DEAN RD STE 500, AUBURN, AL 36830-9454
(334) 780-1475
(334) 780-4700
Mailing address
890 N DEAN RD STE 500, AUBURN, AL 36830-9454
(334) 780-1475
(334) 780-4700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
01/09/2022
Last updated
06/06/2024
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