Provider Demographics
NPI:1720444292
Name:PRN HOME HEALTH SERVICES, LLC.
Entity Type:Organization
Organization Name:PRN HOME HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRION
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:BARTHOLOMEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-317-2640
Mailing Address - Street 1:224 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17815-2886
Mailing Address - Country:US
Mailing Address - Phone:570-317-2640
Mailing Address - Fax:570-317-2641
Practice Address - Street 1:224 E 9TH ST
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-2886
Practice Address - Country:US
Practice Address - Phone:570-317-2640
Practice Address - Fax:570-317-2641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health