Organization
MAGNOLIA MANOR, INC.
Active
Other names
Magnolia Manor Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HILL FORT (ADMINISTRATOR)
(229) 931-5942
Entity
Organization
Contact information
Practice address
2001 S LEE ST, AMERICUS, GA 31709-4715
(229) 924-9352
(229) 931-5999
Mailing address
2001 S LEE ST, AMERICUS, GA 31709-4715
(229) 924-9352
(229) 931-5999
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1129065
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040785A
—
GA
Enumeration date
11/22/2005
Last updated
03/03/2010
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