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Organization

MAGNOLIA HOME CARE SERVICE LLC

Active
Other names
MAGNOLIA HOME CARE SERVICE
Organization subpart
No

Provider details

NPI number
Authorized official
SHAKEIRA WRIGHT (AMINISTRATOR)
(912) 319-7273
Entity
Organization

Contact information

Practice address
11215 ABERCORN ST STE 9, SAVANNAH, GA 31419-1820
(912) 319-7273
(833) 784-6257
Mailing address
11215 ABERCORN ST STE 9, SAVANNAH, GA 31419-1820
(912) 319-7273
(833) 784-6257

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
Primary
314000000X
Skilled Nursing Facility
343900000X
Non-emergency Medical Transport (VAN)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003230964A
GA
05
003230964B
GA
Enumeration date
10/30/2018
Last updated
06/19/2023
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