=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770482853
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PRN STAFFERS HOME HEALTH AGENCY FL INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/04/2026
-----------------------------------------------------
Last Update Date | 11/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 304 E JEFFERSON ST
-----------------------------------------------------
City | QUINCY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32351-2530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-317-6184
-----------------------------------------------------
Fax | 302-829-3109
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 304 E JEFFERSON ST
-----------------------------------------------------
City | QUINCY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32351-2530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-317-6184
-----------------------------------------------------
Fax | 302-829-3109
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. EARNESTINE OLIVER BROWN
-----------------------------------------------------
Credential | BROWN
-----------------------------------------------------
Telephone | 302-317-6184
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------