Organization
MAGNOLIA COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BERNIARD (DIRECTOR OF OPERATIONS)
(504) 731-1359
Entity
Organization
Contact information
Practice address
821 JEFFERSON HEIGHTS AVE., JEFFERSON, LA 70121
(504) 731-1359
Mailing address
100 CENTRAL AVE, JEFFERSON, LA 70121-3402
(504) 733-2874
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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