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Organization

MAGNOLIA MANOR OF MARION COUNTY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA MITCHELL (ADMINISTRATOR)
(229) 649-2331
Entity
Organization

Contact information

Practice address
349 GENEVA RD, BUENA VISTA, GA 31803-1701
(229) 649-2331
Mailing address
349 GENEVA RD, BUENA VISTA, GA 31803-1701
(229) 649-2331

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10961816
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00141809A
GA
Enumeration date
11/18/2005
Last updated
04/29/2008
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