Organization
PRN HEALTHCARE STAFFING, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA D SANDERS-MILLER RPT, CMA, NOTARY (PHLEBOTOMIST)
(843) 957-8782
Entity
Organization
Contact information
Practice address
4325 DICK POND RD STE B, MYRTLE BEACH, SC 29588-6810
(843) 353-4651
(866) 446-4652
Mailing address
4325 DICK POND RD STE B, MYRTLE BEACH, SC 29588-6810
(843) 353-4651
(866) 446-4652
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
305S00000X
Point of Service
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/17/2018
Last updated
01/18/2022
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