Provider Demographics
NPI:1578329744
Name:PRN TELEHEALTH SERVICES
Entity Type:Organization
Organization Name:PRN TELEHEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:FLORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:OMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-952-7597
Mailing Address - Street 1:27 CALVERT LN
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-4539
Mailing Address - Country:US
Mailing Address - Phone:856-952-7597
Mailing Address - Fax:
Practice Address - Street 1:27 CALVERT LN
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-4539
Practice Address - Country:US
Practice Address - Phone:856-952-7597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care