MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC; NPI #1972730828

Contact Information

MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC

2005 CRESWELL AVE
SHREVEPORT, LA 71104-2201

Phone: 318-678-0709
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC

NPI #	`1972730828`
LBN Legal business name	MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC
Authorized official	DEWARRENT BRANTLEY - (CEO/ PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/18/2009
Last updated	06/18/2009 - About 17 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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