Organization
MAGNOLIA ESTATES, LLC
Active
Other names
Magnolia Estates
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HOWARD (C.F.O. / C.O.O.)
(318) 641-3717
Entity
Organization
Contact information
Practice address
1511 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 216-0950
(337) 216-0992
Mailing address
4333 SHREVEPORT HWY, PINEVILLE, LA 71360-3828
(318) 445-6470
(318) 641-6282
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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