Organization
MAGNOLIA MANOR, INC.
Active
Organization
MAGNOLIA MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERI L DAVIDSON (PRESIDENT)
(417) 442-3633
Entity
Organization
Contact information
Practice address
RR 2 BOX 265C, PURDY, MO 65734-9507
(417) 442-3633
(417) 442-3635
Mailing address
RR 2 BOX 265C, PURDY, MO 65734-9507
(417) 442-3633
(417) 442-3635
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
032816
MO
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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