Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Manor of Tupelo

Organization Preferred Provider Organization · NPI 1558545210

Magnolia Manor of Tupelo is a Preferred Provider Organization in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007

Practice location Address checks out

1514 County Road 41
Tupelo, MS 38801-0681
Phone: (662) 842-6776
Fax: (662) 842-6512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 1000 (MS)

Record details

NPI number1558545210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Pharr — Executive Director · (662) 842-6776
NPI enumeratedDecember 18, 2007
Last updated in NPPESDecember 18, 2007
Mailing address1514 County Road 41, Tupelo, MS 38801-0681

Other providers in Tupelo