Provider Demographics
NPI:1811589682
Name:PENNIE'S R US CORPORATION
Entity Type:Organization
Organization Name:PENNIE'S R US CORPORATION
Other - Org Name:PENNIE'S STAFFING AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JUNA
Authorized Official - Middle Name:G
Authorized Official - Last Name:RANKINE-BABB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-202-4187
Mailing Address - Street 1:4262 IVY RUN # 23
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-6522
Mailing Address - Country:US
Mailing Address - Phone:404-202-4187
Mailing Address - Fax:404-212-7489
Practice Address - Street 1:4262 IVY RUN # 23
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-6522
Practice Address - Country:US
Practice Address - Phone:404-202-4187
Practice Address - Fax:404-212-7489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care