Organization
MAGNOLIA GRACE CARE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITY THOMAS BSN, RN (CEO)
(662) 510-4933
Entity
Organization
Contact information
Practice address
8459 CROSS POINT DR, OLIVE BRANCH, MS 38654-4390
(661) 510-4493
Mailing address
8459 CROSS POINT DR, OLIVE BRANCH, MS 38654-4390
(662) 510-4493
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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