Whalio Doctors

NPI 1265569875

Magnolia Healthcare, INC.

Organisation Skilled Nursing Facility Greenwood, MS

Practice location

Address
1600 W Claiborne Ave, Greenwood, MS 38930-2753
Phone
(662) 453-8140
Fax
(662) 455-3973
Mailing address
PO Box 40018, Baton Rouge, LA 70835-0018

Authorised official

Name
Richard Thomas Daspit
Title
Ceo
Phone
(225) 906-4644

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 585 (MS)

Registry record

NPI
1265569875
Entity type
Organization
NPI issued
28 Feb 2007
Record last updated
11 Sep 2019

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.