Organization · Type 2 NPI

Magnolia Pec, LLC

Medically Fragile Infants and Children Day Care · Laurel, MS

NPI number 1053913442 Active

Practice location

404 N 12th Ave
Laurel, MS 39440-3876

Fax (601) 682-1256

Mailing address

PO Box 2403
Monroe, LA 71207

Specialties and licenses

TaxonomyCodeLicense
Medically Fragile Infants and Children Day Care Primary 261QM3000XNone listed

Medically Fragile Infants and Children Day Care: An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

About NPI 1053913442

Magnolia Pec, LLC's National Provider Identifier is 1053913442, issued on Nov 11, 2020. The primary taxonomy on file is Medically Fragile Infants and Children Day Care (261QM3000X), and the practice location is in Laurel, MS. The record was last updated on Feb 28, 2023.