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Organization
PP&P HEALTH SERVICES
Active
Organization
PP&P HEALTH SERVICES
Active
Parent organization
HYDR8ME IV LOUNGE
Organization subpart
Yes
Provider details
NPI number
Legal business name
HYDR8ME IV LOUNGE
Authorized official
PETRINO PIERCE RN (OWNER)
(678) 832-8065
Entity
Organization
Contact information
Practice address
211 PAYTON PL, WOODSTOCK, GA 30188-3185
(678) 835-8065
(877) 599-6195
Mailing address
211 PAYTON PL, WOODSTOCK, GA 30188-3185
(678) 835-8065
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
—
NULL
163WC1500X
Community Health Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
03/14/2025
Last updated
03/26/2025
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