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Contact Information

MAGNOLIA GARDENS ASSISTED LIVING
945 WEST DR
LAUREL, MS39440-4703
 Phone: 601-649-6660
 Fax: 601-428-4685
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living, Behavioral Disturbances

3104A0630X
 

Private Vehicle

347C00000X
 

Respite Care

385H00000X
Indicates primary specialty

NPI Profile & details for MAGNOLIA GARDENS ASSISTED LIVING

NPI # 1336331685
LBN Legal business name MAGNOLIA GARDENS ASSISTED LIVING
Authorized official DEBORAH STEVERSON - (OWNER/ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2007
Last updated 08/10/2007 - About 19 years ago
Identifiers
MS License # 898
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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