Individual
MRS. TAMALA SURELL STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 LUMBERTON RD, COLUMBIA, MS 39429-3515
(601) 736-9980
Mailing address
501A LUMBERTON RD, COLUMBIA, MS 39429-3515
(601) 736-9980
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
MS
251J00000X
Nursing Care Agency
—
MS
253Z00000X
In Home Supportive Care Agency
—
MS
3747P1801X
Personal Care Attendant
—
MS
374U00000X
Home Health Aide
—
MS
376J00000X
Homemaker
Primary
—
MS
385H00000X
Respite Care
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007728803
—
MS
05
—
008779854
—
MS
Enumeration date
03/20/2013
Last updated
12/03/2025
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