NPI 1174440523

Magnolia Recreation and Services LLC

Organisation Community Health Worker Lena, MS

Practice location

Address: 1411 Morgan Rd, Lena, MS 39094-9254
Phone: (601) 300-2797

Authorised official

Name: Lakeshia Evon Kennedy
Title: Manager
Phone: (601) 300-2797

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Mississippi →

Adult Day Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QA0600X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1174440523
Entity type: Organization
NPI issued: 6 Jul 2026
Record last updated: 6 Jul 2026

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.