Organization Name: | MAGNOLIA REGIONAL HEALTH CENTER |
NPI Number: | 1093879041 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARQUETTA TRICE (HOMECARE DIRECTOR) |
Mailing Address: | 1001 S Harper Rd Corinth |
State: | MS US |
Postal Code: | 388346646 |
Phone Number: | 6622931405 |
Fax Number: | 6622864242 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 11/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |