| NPI | 1184344061 |
|---|---|
| Other Name | MAGNOLIA SOUTHERN CARE LLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA MICHELLE MCCREE BRADDY Owner Hca Home Care Provider 904-577-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |