Provider Demographics
NPI:1275114035
Name:PINK PARADISE WELLNESS AND DAY SPA, LLC
Entity Type:Organization
Organization Name:PINK PARADISE WELLNESS AND DAY SPA, LLC
Other - Org Name:PINK PARADISE WELLNESS AND DAY SPA, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:HOYLE
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:704-473-2655
Mailing Address - Street 1:927 S LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-5851
Mailing Address - Country:US
Mailing Address - Phone:980-375-7465
Mailing Address - Fax:
Practice Address - Street 1:927 S LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28152-5851
Practice Address - Country:US
Practice Address - Phone:980-375-7465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PINK PARADISE WELLNESS AND DAY SPA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-14
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty