Magnolia Nursing Center Llc

LBN: Magnolia Nursing Center Llc
Magnolia Nursing Center Llc is an health care organization with primary practice located at 3701 Peter Quinn Dr , Jackson MS 39213-3309. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Magnolia Nursing Center Llc can be contacted via phone (601) 366-1712, or through Ellis, Tina L via phone (601) 304-0980.

Contact Information

Primary practice address
3701 Peter Quinn Dr Jackson MS 39213-3309
Phone: (601) 366-1712
Fax: (601) 366-1715
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Tina L
Phone: (601) 304-0980

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 404 Mississippi

Profile Details

NPI number 1366426082
LBN Legal business name Magnolia Nursing Center Llc
DBA Doing business as
Authorized official Ellis, Tina L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366426082 NPPES
Mississippi MEDICAID 00230160

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