Magnolia Recreation and Services LLC
Organization Active NPI Community Health Worker · Lena, MS
NPI 1174440523 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1174440523
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Worker 172V00000X
- Legal business name
- MAGNOLIA RECREATION AND SERVICES LLC
- Practice address
- 1411 Morgan Rd
Lena, MS 39094-9254 - Phone
- (601) 300-2797
- NPI assigned
- Jul 6, 2026
- Organization subpart
- No
Authorized official
- Name
- Ms. Lakeshia Evon Kennedy
- Title
- Manager
- Phone
- (601) 300-2797
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker |
172V00000X | Yes | ||
| Adult Day Care Clinic/Center | 261QA0600X |
Addresses
Primary practice location
1411 Morgan Rd
Lena, MS 39094-9254
Mailing address
1411 Morgan Rd
Lena, MS 39094-9254
Phone (601) 300-2797
Other names
- Magnolia Recreation and Services LLC
Other providers in Lena, MS
- Janaisha Berry
- Rebecca Annette Johnston
- Dustin Kelly
- Lena Family Medical, Inc.
- Brett Chapin Moore
- Itanjula Moore
- Moore'S Pharmacy Lena LLC
- Rikki M Parker
- River Bend Services, Inc.
All providers in Lena, MS · Community Health Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.