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Contact Information

MAGNOLIA GARDENS ASSISTED LIVING
303 EAST IVY
ELLISVILLE, MS39437
 Phone: 601-477-9041
 Fax: 601-477-9006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living, Behavioral Disturbances

3104A0630X
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for MAGNOLIA GARDENS ASSISTED LIVING

NPI # 1891228581
LBN Legal business name MAGNOLIA GARDENS ASSISTED LIVING
Authorized official DEBORAH STEVERSON - (LPN/VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2017
Last updated 04/10/2017 - About 9 years ago
Identifiers
MS License # 1059
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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