Whalio Doctors

NPI 1053519579

Magnolia House Pch, INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Douglas, GA

Practice location

Address
221 College Ave S, Douglas, GA 31533-2303
Phone
(912) 384-3377

Authorised official

Name
Melissa R Whitley
Title
Director
Phone
(912) 384-3377

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1053519579
Entity type
Organization
NPI issued
5 Jul 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.