OrganizationActive
Magnolia Ranch Recovery LLC
NPI 1902331929 · Substance Abuse Rehabilitation Facility · Pulaski, TN
Provider details
- NPI number
- 1902331929
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Peter Dacchille, Ceo(786) 308-1676
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Practice location
111 Stripmine Rd
Pulaski, TN 38478-8182
Phone: (931) 425-6303
Fax: (866) 318-9108
Approximate (ZIP-level) locationGet directions
Mailing address
1020 E College St
Pulaski, TN 38478-4547
Additional practice locations (2)
- 39 Stevens Hollow RdTaft, TN 38488-5269Phone: (931) 425-6303
- 115 Stripmine RdPulaski, TN 38478-8182Phone: (931) 347-4966Fax: (866) 318-9108
Registry dates
- Enumerated
- 2017-04-27
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.