| NPI | 1952637142 |
|---|---|
| Doing Business As | MAGNOLIA MANOR |
| Entity Type | Organization |
| Authorized Contact | SCOTT R COLE CEO 870-598-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 043) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2011-05-18 |