NPI Code Detail JSON Logo

1932965902 NPI number — MAGNOLIA KIDS PEDIATRIC EXTENDED CARE LLC

NPI Number: 1932965902
Health Care Provider/Practitioner: MAGNOLIA KIDS PEDIATRIC EXTENDED CARE LLC

Information about “1932965902” NPI (MAGNOLIA KIDS PEDIATRIC EXTENDED CARE LLC) exists in 1932965902 in HTML format HTML  |  1932965902 in plain Text format TXT  |  1932965902 in PDF (Portable Document Format) PDF  |  1932965902 in an XML format XML  formats.

NPI Number : 1932965902 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932965902",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MAGNOLIA KIDS PEDIATRIC EXTENDED CARE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "166 NAVAJO CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLINTON",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39056-3111",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-503-3731",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "166 NAVAJO CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLINTON",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39056-3111",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-503-3731",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/26/2024",
    "LastUpdateDate": "03/12/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TURMAN",
    "AuthorizedOfficialFirstName": "LAURA",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "CO-OWNER AND DIRECTOR OF NURSING",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN, BSN",
    "AuthorizedOfficialTelephoneNumber": "601-503-3731",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QD1600X",
          "TaxonomyName": "Developmental Disabilities Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM3000X",
          "TaxonomyName": "Medically Fragile Infants and Children Day Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.