The Pink Penny Private Homecare, LLC

NPI #1104329689 in Moultrie, Georgia

Provider Information

NPI Number: 1104329689
Entity Type: Organization
Organization Name: The Pink Penny Private Homecare, LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Mar 12, 2018
Last Updated: Oct 6, 2021

Practice Location

Address: 127 ROWLAND DR UNIT C
City: Moultrie
State: Georgia
ZIP Code: 31768-4120
Phone: (229) 529-6473

Authorized Official

Name: SHANTA LACOLE CLAYTON, RN
Title: OWNER
Phone: (229) 529-6473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Home Health	251E00000X
Clinical Medical Laboratory	291U00000X
In Home Supportive Care	253Z00000X	Primary

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