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The Magnolia School, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jefferson, Louisiana
NPI 1841431210

The Magnolia School, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jefferson, LA. The Magnolia School, Inc. practices in Jefferson, LA. The NPI Number for The Magnolia School, Inc. is 1841431210 and holds a License No. 3061 (PCA) (Louisiana).

The current practice location address for The Magnolia School, Inc. is 100 Central Ave, Jefferson, LA and can be reached out via phone at 504-731-1371 and via fax at 504-731-1354.

Location: 100 Central Ave, Jefferson, LA, 70121-3402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841431210
Provider Name
The Magnolia School, Inc.
Credential
Provider Entity Type
Organization
Address
100 Central Ave, Jefferson, LA, 70121-3402
Phone Number
504-731-1371
Fax Number
504-731-1354
Provider Enumeration Date
03/16/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1989649 01 LA MEDICAID- SIL
1989631 01 LA MEDICAID- IFS
institution
Provider Business Practice Location Address Details
Address
100 Central Ave
City
Jefferson
State
Louisiana
Zip
70121-3402
Phone Number
504-731-1371
Fax Number
504-731-1354
person
Provider Business Mailing Address Details
Address
100 Central Ave
City
Jefferson
State
Louisiana
Zip
70121-3402
Phone Number
504-731-1371
Fax Number
504-731-1354
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
3061 (PCA) (Louisiana)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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