Organization
SOUTHERN MAGNOLIA ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD HACKETT (OWNER)
(504) 644-6334
Entity
Organization
Contact information
Practice address
613 FLEURIE DR, KENNER, LA 70065-1117
(504) 644-6334
Mailing address
613 FLEURIE DR, KENNER, LA 70065-1117
(504) 644-6334
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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