Magnolia Manor Of St Simons Inc

LBN: Magnolia Manor Of St Simons Inc
Magnolia Manor Of St Simons Inc is an health care organization with primary practice located at 2255 Frederica Rd , Saint Simons Island GA 31522-1910. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Magnolia Manor Of St Simons Inc can be contacted via phone (912) 638-9988, or through Crisp, Jackie via phone (912) 638-9988.

Contact Information

Primary practice address
2255 Frederica Rd Saint Simons Island GA 31522-1910
Phone: (912) 638-9988
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crisp, Jackie
Phone: (912) 638-9988

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10631831 Georgia

Profile Details

NPI number 1518949007
LBN Legal business name Magnolia Manor Of St Simons Inc
DBA Doing business as
Authorized official Crisp, Jackie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Oct 27th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518949007 NPPES
Georgia MEDICAID 000141402A

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