MAGNOLIA NA, LLC is an assisted living facility in Tupelo, MS. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MAGNOLIA NA, LLC NPI is 1245598390. The provider is registered as an organization entity type.
The provider Other Name Is Magnolia Place Of New Albany.
The provider's business location address is:
117 N BROADWAY ST
TUPELO, MS
ZIP 38804-901
Phone: (662) 840-3111
Fax: (662) 840-3119
The provider's authorized official is Art Shannon .
The authorized official title is Chief Operating Officer and has the following contact phone number 16628913054.
The CLIA number assigned to this NPI record is 25D2193965 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/26/2012 and was last updated on 4/26/2012.