Healthcare Provider Details

I. General information

NPI: 1073662797
Provider Name (Legal Business Name): PROFESSIONAL RESOURCES MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 PRAIRIE ST N
UNION SPRINGS AL
36089-1617
US

IV. Provider business mailing address

102 CONECUH AVE W
UNION SPRINGS AL
36089-1303
US

V. Phone/Fax

Practice location:
  • Phone: 334-738-4155
  • Fax: 334-738-4137
Mailing address:
  • Phone: 334-738-4155
  • Fax: 334-738-4137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number0608901HH
License Number StateAL

VIII. Authorized Official

Name: JACQUES JARRY
Title or Position: CEO
Credential:
Phone: 334-738-1429