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Organization

MAGNOLIA MEDICAL STAFFING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROY ELDRIDGE COOPER JR. CRTT (OWNER)
(504) 371-1149
Entity
Organization

Contact information

Practice address
2440 PAIGE JANETTE DR, HARVEY, LA 70058-2137
(504) 371-1149
Mailing address
2440 PAIGE JANETTE DR, HARVEY, LA 70058
(504) 371-1149

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
LT1454
LA

Other

Enumeration date
10/20/2009
Last updated
10/20/2009
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