Healthcare Provider Details

I. General information

NPI: 1508869264
Provider Name (Legal Business Name): PRN ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 DUNLOP VLG
COLONIAL HEIGHTS VA
23834-1764
US

IV. Provider business mailing address

904 FORESTVIEW DR
COLONIAL HEIGHTS VA
23834-1217
US

V. Phone/Fax

Practice location:
  • Phone: 804-526-3600
  • Fax: 804-526-6294
Mailing address:
  • Phone: 804-526-2979
  • Fax: 804-526-3880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number497259
License Number StateVA

VIII. Authorized Official

Name: MRS. FRANCES M SLATE
Title or Position: CEO/PRESIDENT
Credential: RN
Phone: 804-526-3600