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Southern Magnolia Personal Care Home
Point of Service in Vidalia, Georgia
NPI 1427448679

Southern Magnolia Personal Care Home is a Point of Service based in Vidalia, GA. Southern Magnolia Personal Care Home practices in Vidalia, GA. The NPI Number for Southern Magnolia Personal Care Home is 1427448679 and holds a License No. 442827106A (Georgia).

The current practice location address for Southern Magnolia Personal Care Home is 405 Thompson St, Vidalia, GA and can be reached out via phone at 912-537-2379 and via fax at 912-537-7040.

Location: 405 Thompson St, Vidalia, GA, 30474-3120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427448679
Provider Name
Southern Magnolia Personal Care Home
Credential
Provider Entity Type
Organization
Address
405 Thompson St, Vidalia, GA, 30474-3120
Phone Number
912-537-2379
Fax Number
912-537-7040
Provider Enumeration Date
01/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
405 Thompson St
City
Vidalia
State
Georgia
Zip
30474-3120
Phone Number
912-537-2379
Fax Number
912-537-7040
person
Provider Business Mailing Address Details
Address
405 Thompson St
City
Vidalia
State
Georgia
Zip
30474-3120
Phone Number
912-537-2379
Fax Number
912-537-7040
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
442827106A (Georgia)
Definition
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.
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