Organization Name: | PRN HOMECARE SERVICES INC |
NPI Number: | 1003059908 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELMORE W SNYDER (ADMINISTRATOR) |
Mailing Address: | 526 S Grand Ave W Springfield |
State: | IL US |
Postal Code: | 627043720 |
Phone Number: | 2177891734 |
Fax Number: | 2175226941 |
NPI Enumeration Date: | 04/08/2009 |
NPI Last Update Date: | 04/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 1003045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |