Organization
MAGNOLIA HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SOMERS (OWNER)
(570) 900-5572
Entity
Organization
Contact information
Practice address
1544 ROUTE 61 HWY S STE 6140, POTTSVILLE, PA 17901-4208
(570) 990-5572
Mailing address
375 PATTON DR, ORWIGSBURG, PA 17961-1619
(570) 294-6145
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104085116
—
PA
Enumeration date
09/09/2022
Last updated
03/23/2023
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