Whalio Doctors

NPI 1063600153

The Magnolia School, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Jefferson, LA

Practice location

Address
333 Dodge Ave, Jefferson, LA 70121-3309
Phone
(504) 731-1303
Fax
(504) 733-7593
Mailing address
100 Central Ave, Jefferson, LA 70121-3402

Authorised official

Name
Melanie A. Beck
Title
Controller
Phone
(504) 731-1303

Registered specialties

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

Registry record

NPI
1063600153
Entity type
Organization
NPI issued
15 Oct 2007
Record last updated
15 Oct 2007

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.