# MAGNOLIA STAR HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1720905292
- **Authorized official:** MRS. OPEYEMI ADEGBESAN (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (623) 292-2356

## Contact information

- **Practice address:** 971 US HIGHWAY 202 N STE N, BRANCHBURG, NJ 08876-3757
- **Practice address phone:** (732) 518-3900
- **Mailing address:** 105 TIVOLI GARDENS RD STE V, PEACHTREE CITY, GA 30269-1528
- **Mailing address phone:** (623) 292-2356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2026
- **Last updated:** 07/03/2026