NPI 1376547349

Magnolia of Madison, INC.

Organisation Home Health Agency Tallulah, LA

Practice location

Address: 708 Lasalle St., Tallulah, LA 71282
Phone: (318) 574-6400
Fax: (318) 574-6401

Authorised official

Name: Carl Len Machen
Title: Administrator, Don
Phone: (318) 574-6400

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 860 (LA)

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Registry record

NPI: 1376547349
Entity type: Organization
NPI issued: 8 Jun 2005
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.