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MAGNOLIA RECOVERY, LLC

Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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Contact Information

MAGNOLIA RECOVERY, LLC
3605 YOUREE DR
SHREVEPORT, LA  71105-2121
 Phone: 318-615-9006
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

 324500000X
 

Rehabilitation, Substance Use Disorder

 261QR0405X
 

Rehabilitation, Substance Use Disorder Unit

 276400000X
Indicates primary specialty

NPI Profile & details for MAGNOLIA RECOVERY, LLC

NPI # 1861088999
LBN Legal business name MAGNOLIA RECOVERY, LLC
Authorized official AMANDA VEULEMAN - (OPERATIONS DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2020
Last updated 04/18/2024 - About 2 years ago
Identifiers n/a
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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