Organization · Type 2 NPI

Pennie's R Us Corporation

Pediatric Skilled Nursing Facility · Ellenwood, GA

NPI number 1811589682 Active

Practice location

4262 Ivy Run # 23
Ellenwood, GA 30294-6522

Fax (404) 212-7489

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
Nursing Care Agency	251J00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed
Pediatric Skilled Nursing Facility Primary	3140N1450X	None listed

Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

NPI record

NPI: 1811589682
Entity type: Organization (Type 2)
Issued: Feb 3, 2021
Last updated: Jun 19, 2024
Status: Active

Other names

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Pennie's Staffing Agency · doing business as
Pennie's Staffing Agency · doing business as

Authorized official

Ms. Juna G Rankine-Babb
Secretary/ceo
(404) 202-4187

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1811589682

Pennie's R Us Corporation's National Provider Identifier is 1811589682, issued on Feb 3, 2021. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Ellenwood, GA. The record was last updated on Jun 19, 2024.