NPI 1487335857
Magnolia Meadows LLC
Practice location
- Address
- 1750 Halls Creek Rd, Waverly, TN 37185-3718
- Phone
- (941) 391-7261
Authorised official
- Name
- Connie Mazza
- Title
- Ceo
- Phone
- (615) 618-2243
Registered specialties (3)
Psychiatric Residential Treatment Facility
Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1487335857
- Entity type
- Organization
- NPI issued
- 28 Jul 2023
- Record last updated
- 12 Mar 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.