Provider Demographics
NPI:1689443186
Name:PENNIE'S R US HOME HEALTH CARE AGENCY CORPORATION
Entity Type:Organization
Organization Name:PENNIE'S R US HOME HEALTH CARE AGENCY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AKELIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RANKINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-865-1233
Mailing Address - Street 1:11322 MIRAMAR PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11322 MIRAMAR PKWY STE 150
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-5805
Practice Address - Country:US
Practice Address - Phone:770-865-1233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health