Provider Demographics
NPI:1932844024
Name:MAGNOLIA HEALTH GROUP
Entity Type:Organization
Organization Name:MAGNOLIA HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JORDANNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-728-7028
Mailing Address - Street 1:375 PATTON DR
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-1619
Mailing Address - Country:US
Mailing Address - Phone:570-294-6145
Mailing Address - Fax:
Practice Address - Street 1:507 POTTSVILLE ST
Practice Address - Street 2:
Practice Address - City:MINERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17954-1823
Practice Address - Country:US
Practice Address - Phone:570-728-7028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health