Provider Demographics
NPI:1073662797
Name:PROFESSIONAL RESOURCES MANAGEMENT, INC
Entity Type:Organization
Organization Name:PROFESSIONAL RESOURCES MANAGEMENT, INC
Other - Org Name:ASSOCIATES HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:
Authorized Official - Last Name:JARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-738-1429
Mailing Address - Street 1:102 CONECUH AVE W
Mailing Address - Street 2:
Mailing Address - City:UNION SPRINGS
Mailing Address - State:AL
Mailing Address - Zip Code:36089-1303
Mailing Address - Country:US
Mailing Address - Phone:334-738-4155
Mailing Address - Fax:334-738-4137
Practice Address - Street 1:232 PRAIRIE ST N
Practice Address - Street 2:
Practice Address - City:UNION SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:36089-1617
Practice Address - Country:US
Practice Address - Phone:334-738-4155
Practice Address - Fax:334-738-4137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0608901HH163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5051OtherRAILROAD MEDICARE
ALASS7139AMedicaid
AL51043908OtherBCBS OF AL
AL51043908OtherBCBS OF AL