NPI | 1043434715 |
---|---|
Doing Business As | WEST MAGNOLIA GROUP HOME |
Entity Type | Organization |
Authorized Contact | CAROLYN DERANGER Office Manager 337-363-5553 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA 568) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |