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Magnolia Pec, Llc
Medically Fragile Infants and Children Day Care in Laurel, Mississippi
NPI 1053913442

Magnolia Pec, Llc is a Medically Fragile Infants and Children Day Care based in Monroe, MS and is specialized in Medically Fragile Infants and Children Day Care. Magnolia Pec, Llc practices in Laurel, MS. The NPI Number for Magnolia Pec, Llc is 1053913442 and holds a License No. (Mississippi).

The current practice location address for Magnolia Pec, Llc is 404 N 12Th Ave, Laurel, MS and can be reached out via phone at 601-682-1250 and via fax at 601-682-1256.

Location: 404 N 12Th Ave, Laurel, MS, 71207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053913442
Provider Name
Magnolia Pec, Llc
Credential
Provider Entity Type
Organization
Address
404 N 12Th Ave, Laurel, MS, 71207
Phone Number
601-682-1250
Fax Number
601-682-1256
Provider Enumeration Date
11/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007828091 05 MS
institution
Provider Business Practice Location Address Details
Address
404 N 12Th Ave
City
Laurel
State
Mississippi
Zip
39440-3876
Phone Number
601-682-1250
Fax Number
601-682-1256
person
Provider Business Mailing Address Details
Address
404 N 12Th Ave
City
Laurel
State
Mississippi
Zip
39440-3876
Phone Number
601-682-1250
Fax Number
601-682-1256
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medically Fragile Infants and Children Day Care
Taxonomy
261QM3000X
License No.
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Definition
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.).
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