Organization Name: | PRN HOME HEALTH AND HOSPICE, INC. |
NPI Number: | 1881771913 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA J FULMER (ASSISTANT ADMINISTRATOR) |
Mailing Address: | 1010 Lincoln St Wamego |
State: | KS US |
Postal Code: | 665471502 |
Phone Number: | 7854567764 |
Fax Number: | 7854567194 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 06/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH1000X |
License Number: | A075003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Hospice |
Taxonomy Definition: |