Magnolia Pec, Llc

LBN: Magnolia Pec, Llc
Magnolia Pec, Llc is an health care organization with primary practice located at 404 N 12Th Ave , Laurel MS 39440-3876. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care, which is considered as the primary health care specialty. Magnolia Pec, Llc can be contacted via phone (601) 682-1250, or through Brister, Elizabeth via phone (318) 323-1930.

Contact Information

Primary practice address
404 N 12Th Ave Laurel MS 39440-3876
Fax: (601) 682-1256
Website:
Authorized official contact:
Name: Brister, Elizabeth

Health care specialties

Profile Details

NPI number 1053913442
LBN Legal business name Magnolia Pec, Llc
DBA Doing business as
Authorized official Brister, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2020
Last updated Feb 28th, 2023 - about 2 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 1053913442 NPPES
Mississippi MEDICAID 007828091

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