NPI 1437247780

Magnolia Healthcare, INC.

Organisation Skilled Nursing Facility Brookhaven, MS

Practice location

Address: 101 Mills St, Brookhaven, MS 39601-2521
Phone: (601) 833-5608
Fax: (601) 833-5285
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 349 (MS)

Other Skilled Nursing Facility providers in Mississippi →

Registry record

NPI: 1437247780
Entity type: Organization
NPI issued: 11 Oct 2006
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.