Organization
MAGNOLIA HOUSE RESIDENTIAL GROUP HOME FOR CHILDREN AND ADOLESCENTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANN HIXSON RN (RN, OWNER, PROGRAM DIRECTOR)
(804) 393-6400
Entity
Organization
Contact information
Practice address
10100 SUMMIT RD, CHESTERFIELD, VA 23838-2327
(804) 393-6400
Mailing address
10100 SUMMIT RD, CHESTERFIELD, VA 23838-2327
(804) 393-6400
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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