Organization
MAGNOLIA BUSINESS VENTURE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA DAILEY (CEO)
(919) 604-0096
Entity
Organization
Contact information
Practice address
1505 WASHINGTON AVE, WELDON, NC 27890-2025
(919) 604-0096
Mailing address
PO BOX 14, WELDON, NC 27890-0014
(919) 604-0096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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