Organization
MAGNOLIA MOBILE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINA PONDER NP (OWNER)
(662) 315-5612
Entity
Organization
Contact information
Practice address
300 FRONT ST S STE 6, AMORY, MS 38821-4202
(662) 315-5612
Mailing address
300 FRONT ST S STE 6, AMORY, MS 38821-4202
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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