Provider Demographics
NPI:1699423368
Name:STAY PRETTY LLC
Entity type:Organization
Organization Name:STAY PRETTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANQURIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PORCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-681-1934
Mailing Address - Street 1:6218 CANYON CHASE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6224
Mailing Address - Country:US
Mailing Address - Phone:832-681-1934
Mailing Address - Fax:
Practice Address - Street 1:6218 CANYON CHASE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6224
Practice Address - Country:US
Practice Address - Phone:832-681-1934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-12
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty