Organization · Type 2 NPI

Magnolia House Pch, Inc

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Douglas, GA

NPI number 1053519579 Active

Practice location

221 College Ave S
Douglas, GA 31533-2303

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.

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About NPI 1053519579

Magnolia House Pch, Inc's National Provider Identifier is 1053519579, issued on Jul 5, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Douglas, GA. The record was last updated on Aug 22, 2020.