Organization
MAGNOLIA HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGETTE PERSHA' TAYLOR (ADMINISTRATOR)
(770) 873-3163
Entity
Organization
Contact information
Practice address
4055 BRUSHYMILL CT, LOGANVILLE, GA 30052-8728
(770) 873-3163
Mailing address
4055 BRUSHYMILL CT, LOGANVILLE, GA 30052-8728
(770) 873-3163
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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