| NPI | 1215982376 |
|---|---|
| Other Name | MAGNOLIA SWINGBED |
| Entity Type | Organization |
| Authorized Contact | REX E JONES Chief Executive Officer 870-235-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2017-01-17 |