MAGNOLIA WOODS LLC NPI 1730428640

NPI Information

  • NPI: 1730428640
  • Provider Name: MAGNOLIA WOODS, LLC
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 6688 TATUM RD
    DISPUTANTA, VA
    ZIP 23842
  • Phone: (804) 550-8674

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NPI Details

MAGNOLIA WOODS, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Disputanta, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MAGNOLIA WOODS, LLC NPI is 1730428640. The provider is registered as an organization entity type.

The provider's business location address is:

6688 TATUM RD
DISPUTANTA, VA
ZIP 23842-902
Phone: (804) 550-8674

The provider's authorized official is Jennifer Jayne White .
The authorized official title is President/director and has the following contact phone number (804) 550-8674.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 2/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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