OrganizationActive
Magnolia Manor of Tupelo
NPI 1558545210 · Preferred Provider Organization · Tupelo, MS
Provider details
- NPI number
- 1558545210
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Donna Pharr, Executive Director(662) 842-6776
- License
- 1000 (MS)
Specialties & taxonomies
Managed Care Organizations
Practice location
1514 County Road 41
Tupelo, MS 38801-0681
Phone: (662) 842-6776
Fax: (662) 842-6512
Approximate (ZIP-level) locationGet directions
Mailing address
1514 County Road 41
Tupelo, MS 38801-0681
Registry dates
- Enumerated
- 2007-12-18
- Last updated
- 2007-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.