Provider Demographics
NPI:1417309923
Name:PRETTY MALOKERA LLC
Entity Type:Organization
Organization Name:PRETTY MALOKERA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE PAULA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP-A
Authorized Official - Phone:623-522-1027
Mailing Address - Street 1:18330 N 79TH AVE
Mailing Address - Street 2:APT 1022
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8343
Mailing Address - Country:US
Mailing Address - Phone:480-522-1027
Mailing Address - Fax:
Practice Address - Street 1:18330 N 79TH AVE
Practice Address - Street 2:APT 1022
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8343
Practice Address - Country:US
Practice Address - Phone:480-522-1027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health