Provider Demographics
NPI:1275122608
Name:PINANZU AGENCY ,LLC
Entity Type:Organization
Organization Name:PINANZU AGENCY ,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLSON
Authorized Official - Middle Name:
Authorized Official - Last Name:PINANZU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-768-9435
Mailing Address - Street 1:1007 SCHUMAKER WOODS RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-8710
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1007 SCHUMAKER WOODS RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-8710
Practice Address - Country:US
Practice Address - Phone:410-546-4258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care