Provider Demographics
NPI:1487853081
Name:PRNSC, LLC
Entity Type:Organization
Organization Name:PRNSC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEVOLITES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-435-1786
Mailing Address - Street 1:83 MARCIN HL
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-4012
Mailing Address - Country:US
Mailing Address - Phone:952-435-1786
Mailing Address - Fax:952-435-7401
Practice Address - Street 1:83 MARCIN HL
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4012
Practice Address - Country:US
Practice Address - Phone:952-435-1786
Practice Address - Fax:952-435-7401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCLASS F251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health