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MAGNOLIA HOUSE PCH, INC
NPI 1053519579
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Douglas, GA

Active since July 05, 2007
221 COLLEGE AVE S, DOUGLAS, GA 31533(912) 384-3377 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia House Pch, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA HOUSE PCH, INC (NPI 1053519579) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Douglas, Georgia and active in the NPI registry since July 2007. The organization lists Melissa R Whitley, Director, as its authorized official.

NPPES Registry Identity

NPI1053519579
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMAGNOLIA HOUSE PCH, INC
Location Address221 COLLEGE AVE SDouglas, GA 31533-2303
Mailing Address221 College Ave SDouglas, GA 31533-2303 · (912) 384-3377
Phone(912) 384-3377
Organization SubpartNo
Authorized OfficialMelissa R WhitleyDirector · (912) 384-3377
Enumeration DateJuly 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053519579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
221 COLLEGE AVE S, Douglas, GA 31533
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia House Pch, Inc's NPI number?

The NPI number for Magnolia House Pch, Inc is 1053519579. It was assigned to this organization in the NPPES registry on July 5, 2007.

Where is Magnolia House Pch, Inc located?

Magnolia House Pch, Inc is located at 221 College Ave S, Douglas, GA 31533. The listed phone number is (912) 384-3377.

What is Magnolia House Pch, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Magnolia House Pch, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.