# SWEETBAY MAGNOLIA SHARED LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003784471
- **Authorized official:** MRS. ANDREA INEZ VINCENT (CEO)
- **Authorized official phone:** (314) 518-8991

## Contact information

- **Practice address:** 42639 REMINISCENT LN, STE B, MAGNOLIA, TX 77354
- **Practice address phone:** (314) 518-8991
- **Practice address fax:** (205) 651-8099
- **Mailing address:** 42639 REMINISCENT LN STE B, MAGNOLIA, TX 77354-7558
- **Mailing address phone:** (314) 518-8991
- **Mailing address fax:** (205) 651-8099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2025
- **Last updated:** 06/24/2026