NPI 1295694578

Magnolia Care LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Oxford, MS

Practice location

Address: 1415 University Ave, Oxford, MS 38655-4031
Phone: (662) 934-4575
Fax: (662) 214-6087

Authorised official

Name: Sidney Pride
Title: Owner
Phone: (662) 934-4575

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1295694578
Entity type: Organization
NPI issued: 21 Jan 2026
Record last updated: 21 Jan 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.