| NPI | 1811579758 |
|---|---|
| Doing Business As | MAGNOLIA BRIDGE HOME AND HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | TRACY HAYES Occupational Therapist/Owner 252-665-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2022-03-11 |