Organization
MAGNOLIA KIDS PEDIATRIC EXTENDED CARE LLC
Active
Other names
Magnolia Kids, Magnolia Kids Pediatric Extended Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA D TURMAN RN, BSN (CO-OWNER AND DIRECTOR OF NURSING)
(601) 503-3731
Entity
Organization
Contact information
Practice address
166 NAVAJO CIR, CLINTON, MS 39056-3111
(601) 503-3731
Mailing address
166 NAVAJO CIR, CLINTON, MS 39056-3111
(601) 503-3731
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
03/12/2024
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