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Contact Information

MAGNOLIA OF MADISON, INC.
708 LASALLE ST.
TALLULAH, LA71282
 Phone: 318-574-6400
 Fax: 318-574-6401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for MAGNOLIA OF MADISON, INC.

NPI Number 1376547349
LBN Legal business name MAGNOLIA OF MADISON, INC.
Authorized official CARL MACHEN - (ADMINISTRATOR, DON)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
LA License # 860
LA Medicaid 1406503
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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