Organization
MAGNOLIA GRACE SENIOR CARE OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINITRA N WRICE (OWNER/DIRECTOR)
(904) 855-5114
Entity
Organization
Contact information
Practice address
501 GLOUCESTER ST STE 115, BRUNSWICK, GA 31520-7030
(912) 266-8737
(912) 228-3400
Mailing address
1201 SHADOWLAWN DR STE 115, SAINT MARYS, GA 31558-4074
(912) 266-8737
(912) 228-3400
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/17/2024
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