Organization
MAGNOLIA CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIAH WAUGH (ADMIN)
(907) 315-4858
Entity
Organization
Contact information
Practice address
10140 SALIX CIR, ANCHORAGE, AK 99507-4138
(907) 315-4858
Mailing address
10140 SALIX CIR, ANCHORAGE, AK 99507-4138
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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