Organization
MAGNOLIA PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN BENJAMIN SHINES (OWNER)
(229) 436-7448
Entity
Organization
Contact information
Practice address
6430 NEWTON RD, ALBANY, GA 31721-5627
(229) 436-7448
(229) 883-2777
Mailing address
P.O. BOX 663, ALBANY, GA 31702-0663
(229) 436-7448
(229) 883-2777
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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