Provider Demographics
NPI:1326223595
Name:PRISM ENTERPRISES, L.LC.
Entity Type:Organization
Organization Name:PRISM ENTERPRISES, L.LC.
Other - Org Name:APPLEHEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-412-5165
Mailing Address - Street 1:2408 S PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8043
Mailing Address - Country:US
Mailing Address - Phone:956-412-5165
Mailing Address - Fax:956-412-5165
Practice Address - Street 1:2408 S PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8043
Practice Address - Country:US
Practice Address - Phone:956-412-5165
Practice Address - Fax:956-412-5165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health