Southern Magnolia Personal Care Home
Southern Magnolia Personal Care Home is a Point of Service in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2015.
- Licensed in
- GA
- In the registry since
- 2015
Practice location Address checks out
405 Thompson StVidalia, GA 30474-3120
Phone: (912) 537-2379
Fax: (912) 537-7040
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X · Licence 442827106A (GA) |
|---|
Record details
| NPI number | 1427448679 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mae Day — Owner · (912) 537-2379 |
| NPI enumerated | January 27, 2015 |
| Last updated in NPPES | January 27, 2015 |
| Mailing address | 405 Thompson St, Vidalia, GA 30474-3120 |