Organization
MAGENTA HAZE PUBLIC RELATIONS
Active
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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