Magnolia Ranch Recovery LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1902331929

Magnolia Ranch Recovery LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Pulaski, Tennessee. Works from 3 locations. Registered with an NPI since 2017.

In the registry since: 2017
Specialties on file: 2

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

111 Stripmine Rd
Pulaski, TN 38478-8182
Phone: (931) 425-6303
Fax: (866) 318-9108

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

Additional practice locations (2)

39 Stevens Hollow Rd, Taft, TN 38488-5269 — (931) 425-6303
115 Stripmine Rd, Pulaski, TN 38478-8182 — (931) 347-4966

Specialties & licences

Substance Abuse Rehabilitation Facility (primary)	Taxonomy 324500000X
Substance Use Disorder Rehabilitation Clinic/Center	Taxonomy 261QR0405X

Record details

NPI number	1902331929
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Peter Dacchille — Ceo · (786) 308-1676
NPI enumerated	April 27, 2017
Last updated in NPPES	June 26, 2023
Certification date	June 26, 2023
Mailing address	1020 E College St, Pulaski, TN 38478-4547