NPI 1801475710

Magnolia Community Services, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Jefferson, LA

Practice location

Address: 753 St. George Ave, Jefferson, LA 70121
Phone: (504) 731-1359
Mailing address: 100 Central Ave, Jefferson, LA 70121-3402

Authorised official

Name: Wendy Berniard
Title: Quality Assurance and Compliance Di
Phone: (504) 731-1359

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Louisiana →

Registry record

NPI: 1801475710
Entity type: Organization
NPI issued: 7 Apr 2021
Record last updated: 7 Apr 2021

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.