Organization
MAGNOLIA HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT EDWARD HARRISON (ADMINISTRATOR)
(719) 302-4682
Entity
Organization
Contact information
Practice address
6120 MOCCASIN PASS CT, COLORADO SPRINGS, CO 80919-4433
(719) 302-4682
Mailing address
6120 MOCCASIN PASS CT, COLORADO SPRINGS, CO 80919-4433
(719) 302-4682
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
169423
CO
Other
Enumeration date
05/16/2006
Last updated
07/21/2022
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