Healthcare Provider Details

I. General information

NPI: 1376551317
Provider Name (Legal Business Name): PRN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 01/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 N HICKORY AVE
BEL AIR MD
21014
US

IV. Provider business mailing address

138 N HICKORY AVE
BEL AIR MD
21014
US

V. Phone/Fax

Practice location:
  • Phone: 410-879-6571
  • Fax: 410-879-6574
Mailing address:
  • Phone: 410-879-6571
  • Fax: 410-879-6574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR2060
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR2060
License Number StateMD

VIII. Authorized Official

Name: MS. THERESA A ROSEN
Title or Position: FOUNDER
Credential: RN BSN
Phone: 410-879-6571