| NPI | 1124633268 |
|---|---|
| Doing Business As | MAGNOLIA PLACE NURSING AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | NICK LANCASTER Administrator 170-672-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2021-07-06 |