Organization · Type 2 NPI

Magnolia Ranch Recovery LLC

Substance Abuse Rehabilitation Facility · Pulaski, TN

NPI number 1902331929 Active

Practice location

111 Stripmine Rd
Pulaski, TN 38478-8182

Fax (866) 318-9108

Mailing address

1020 E College St
Pulaski, TN 38478-4547

Other practice locations

  • 39 Stevens Hollow Rd, Taft, TN 38488-5269 · (931) 425-6303
  • 115 Stripmine Rd, Pulaski, TN 38478-8182 · (931) 347-4966

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1902331929

Magnolia Ranch Recovery LLC's National Provider Identifier is 1902331929, issued on Apr 27, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Pulaski, TN. The record was last updated on Jun 26, 2023.