Organization
MAGNOLIA COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BERNIARD (QUALITY ASSURANCE AND COMPLIANCE DI)
(504) 731-1359
Entity
Organization
Contact information
Practice address
753 ST. GEORGE AVE, JEFFERSON, LA 70121
(504) 731-1359
Mailing address
100 CENTRAL AVE, JEFFERSON, LA 70121-3402
(504) 731-1359
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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