National Provider Identifier Database

MAGNOLIA GARDENS ASSISTED LIVING
Assisted Living, Behavioral Disturbances

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.


Contact Information

MAGNOLIA GARDENS ASSISTED LIVING
303 EAST IVY
ELLISVILLE, MS39437
Phone: 601-477-9041
Fax: 601-477-9006
Website:
Specialty Taxonomy Code
* Assisted Living, Behavioral Disturbances 3104A0630X
Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for MAGNOLIA GARDENS ASSISTED LIVING

NPI Number 1891228581
Legal business name
LBN
MAGNOLIA GARDENS ASSISTED LIVING
Authorized official DEBORAH STEVERSON - (LPN/VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/10/2017
Last updated 04/10/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 1059

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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