Healthcare Provider Details

I. General information

NPI: 1063058675
Provider Name (Legal Business Name): PATIENT RESOURCES COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 NW 5TH ST STE 101
PLANTATION FL
33317-1613
US

IV. Provider business mailing address

7520 NW 5TH ST STE 101
PLANTATION FL
33317-1613
US

V. Phone/Fax

Practice location:
  • Phone: 954-999-0983
  • Fax: 954-999-0113
Mailing address:
  • Phone: 954-999-0983
  • Fax: 954-999-0113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: COLLIN HALLER
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-999-0983