Organization
MSHC MAGNOLIA AT THE OAKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA POWER (CFO)
(903) 832-0429
Entity
Organization
Contact information
Practice address
4205 RICHMOND MDWS, TEXARKANA, TX 75503-0103
(903) 832-0429
Mailing address
4939 ELIZABETH ST, TEXARKANA, TX 75503-2911
(903) 832-0429
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
09/21/2020
Last updated
11/03/2021
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