| NPI | 1174136915 |
|---|---|
| Former Legal Business Name | MAGNOLIA ANGELS HEALTHCARE STAFFING LLC |
| Entity Type | Organization |
| Authorized Contact | MYKESHIA TAYLOR Administrator 317-688-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2020-08-31 |