NPI | 1659769420 |
---|---|
Doing Business As | MAGNOLIA MANOR |
Entity Type | Organization |
Authorized Contact | SANDRA WILLIAMS CEO 409-283-8141 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2015-01-02 |
Last Update Date | 2025-08-28 |