Organization · Type 2 NPI
Southern Magnolia Personal Care Home
Point of Service · Vidalia, GA
NPI number
1427448679
Active
Practice location
405 Thompson St
Vidalia, GA 30474-3120
Fax (912) 537-7040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 442827106A (GA) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1427448679
Southern Magnolia Personal Care Home's National Provider Identifier is 1427448679, issued on Jan 27, 2015. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Vidalia, GA. The record was last updated on Jan 27, 2015.