Organization
MAGNOLIA SITTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANEDRA PEGUES (OWNER)
(601) 460-9038
Entity
Organization
Contact information
Practice address
4754 DUBARRY LN, JACKSON, MS 39209-4929
(601) 208-0915
Mailing address
4754 DUBARRY LN, JACKSON, MS 39209-4929
(601) 208-0915
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MS
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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