Provider Demographics
NPI:1902371636
Name:PRETTY IN PINK ANGELS OF CARE, LLC
Entity Type:Organization
Organization Name:PRETTY IN PINK ANGELS OF CARE, LLC
Other - Org Name:PRETTY IN PINK ANGELS OF CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-988-7110
Mailing Address - Street 1:2470 WINDY HILL RD.
Mailing Address - Street 2:SUITE 403
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-2945
Mailing Address - Country:US
Mailing Address - Phone:678-503-8312
Mailing Address - Fax:
Practice Address - Street 1:2470 WINDY HILL RD., SUITE 403
Practice Address - Street 2:SUITE 403
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-3006
Practice Address - Country:US
Practice Address - Phone:678-503-8312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherPRETTY IN PINK ANGELS OF CARE, LLC