Whalio Doctors

NPI 1841431210

The Magnolia School, INC.

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

Practice location

Address
100 Central Ave, Jefferson, LA 70121-3402
Phone
(504) 731-1371
Fax
(504) 731-1354

Authorised official

Name
Elizabeth Anne Merida
Title
Dir. of Sil Services
Phone
(504) 731-1371

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 3060 (SIL) (LA)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence 3061 (PCA) (LA)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence 6879 (RESPITE) (LA)

Registry record

NPI
1841431210
Entity type
Organization
NPI issued
16 Mar 2009
Record last updated
16 Mar 2009

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.