Healthcare Provider Details

I. General information

NPI: 1700966843
Provider Name (Legal Business Name): BUDS RESPITE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 W MILL RD
SARDIS MS
38666-2200
US

IV. Provider business mailing address

132 W MILL RD
SARDIS MS
38666-2200
US

V. Phone/Fax

Practice location:
  • Phone: 662-487-1015
  • Fax: 662-487-9229
Mailing address:
  • Phone: 662-487-1015
  • Fax: 662-487-9229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number385H00000X
License Number StateMS

VIII. Authorized Official

Name: MRS. DEBORA ANN SYKES
Title or Position: CEO
Credential: LICENSE NURSE
Phone: 662-487-1015