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NPI Code Detail

MEDICARE: MAGNOLIA CARE SERVICES, LLC

MEDICARE: MAGNOLIA CARE SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1275483745
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAGNOLIA CARE SERVICES, LLC
Provider Business Mailing Address
First Line : 21 HUNTINGTON PL
Second Line :
City : JACKSON
State : TN
Zip : 38305-9665
Country : US
Telephone Number : 731-780-0369
Fax Number :
Provider Business Practice Location Address
First Line : 21 HUNTINGTON PL
Second Line :
City : JACKSON
State : TN
Zip : 38305-9665
Country : US
Telephone Number : 731-780-0369
Fax Number :
Authorized Official
Title or Position : CEO
Name : MRS. SHALANZA JONES
Credential :
Telephone Number : 731-780-0369
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “MAGNOLIA CARE SERVICES, LLC ” Practice Location

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