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Organization
SWEETBAY MAGNOLIA SHARED LIVING LLC
Active
Organization
SWEETBAY MAGNOLIA SHARED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA INEZ VINCENT (CEO)
(314) 518-8991
Entity
Organization
Contact information
Practice address
42639 REMINISCENT LN, STE B, MAGNOLIA, TX 77354
(314) 518-8991
(205) 651-8099
Mailing address
42639 REMINISCENT LN STE B, MAGNOLIA, TX 77354-7558
(314) 518-8991
(205) 651-8099
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
06/24/2026
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