NPI | 1417127895 |
---|---|
Doing Business As | MAGNOLIA MANOR |
Entity Type | Organization |
Authorized Contact | PAULETTE BUTLER Owner 601-732-8473 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 954) |
Enumeration Date | 2008-03-03 |
Last Update Date | 2008-03-03 |