Provider Demographics
NPI:1114512415
Name:AFFORDABLE SITTER SERVICE LLC
Entity Type:Organization
Organization Name:AFFORDABLE SITTER SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSITRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NARSHUNDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-790-7138
Mailing Address - Street 1:7048 OLD CANTON RD STE 1000A
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-1008
Mailing Address - Country:US
Mailing Address - Phone:601-790-7138
Mailing Address - Fax:601-790-7138
Practice Address - Street 1:7048 OLD CANTON RD STE 1000A
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-1008
Practice Address - Country:US
Practice Address - Phone:601-790-7138
Practice Address - Fax:601-790-7138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility