| NPI | 1437940897 |
|---|---|
| Former Legal Business Name | MAGNOLIA ANGELS ADULT DAY SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | MYKESHIA BURTON Owner 217-220-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-06-03 |