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MAGNOLIA OF MADISON, INC.

Home Health Agencies

Tallulah, Louisiana

Provider NPI: 1376547349

Organization Information:
Organization Name:  MAGNOLIA OF MADISON, INC.


Practice Location:
708 LASALLE ST.  TALLULAH, LA 71282 US
Tel: 318-574-6400  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251E00000XAgencies
Home Health
LA860

Other Provider Identifiers:

IssuerNumberStateType
1406503LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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