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Organization
PINK PENNY CARE, LLC
Active
Organization
PINK PENNY CARE, LLC
Active
Other names
THE PINK PENNY PRIVATE HOMECARE, LLC, The Pink Penny Private Homecare, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTA LACOLE CLAYTON RN (RN/CEO)
(229) 891-3198
Entity
Organization
Contact information
Practice address
127 ROWLAND DR UNIT C, MOULTRIE, GA 31768-4120
(229) 529-6473
(229) 616-4224
Mailing address
127 C ROWLAND DRIVE UNIT C, MOULTRIE, GA 31768
(229) 891-3198
(229) 616-4224
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
03/12/2018
Last updated
03/04/2026
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