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

Magnolia NA, LLC

Organization Assisted Living Facility · NPI 1245598390

Magnolia NA, LLC is an Assisted Living Facility in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

117 N Broadway St
Tupelo, MS 38804-3901
Phone: (662) 840-3111
Fax: (662) 840-3119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 848 (MS)

Record details

NPI number1245598390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Art Shannon — Chief Operating Officer · (662) 891-3054
Other names Magnolia Place Of New Albany
NPI enumeratedApril 26, 2012
Last updated in NPPESApril 26, 2012
Mailing address1515 Munsford Dr, New Albany, MS 38652-7407

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