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Organization

MAGENTA HAZE PUBLIC RELATIONS

Active
Other names
Magenta Sky PR
Organization subpart
No

Provider details

NPI number
Authorized official
SHELYNG KNICOLE MCCOVERY LVN (ADMINISTRATOR)
(925) 217-4833
Entity
Organization

Contact information

Practice address
323 E VERNALIS RD, TRACY, CA 95304-9376
(510) 372-5830
Mailing address
1500 GOLDENBAY AVE APT 111, SAN RAMON, CA 94582-5863
(925) 217-4833

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
251G00000X
Community Based Hospice Care Agency
Primary
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
315D00000X
Inpatient Hospice
376G00000X
Nursing Home Administrator

Other

Enumeration date
09/23/2017
Last updated
09/23/2017
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