| NPI | 1740604263 |
|---|---|
| Doing Business As | MAGNOLIA HOUSE |
| Entity Type | Organization |
| Authorized Contact | CAMERON D GODDARD Ar Manager 601-824-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 672) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |