Organization
MAGNOLIA COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER HEBERT (EXECUTIVE DIRECTOR)
(504) 731-1324
Entity
Organization
Contact information
Practice address
143 CENTRAL AVE, JEFFERSON, LA 70121-3401
(504) 304-5504
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
11/19/2015
Last updated
11/19/2015
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