Organization
PROFESSIONAL RESOURCE NETWORK, INC
Active
Parent organization
PROFESSIONAL RESOURCE NETWORK, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL RESOURCE NETWORK, INC
Authorized official
MS. CHARIE L DEVOLITES RN, BSN, MSHCA (CHIEF EXECUTIVE OFFICER)
(952) 858-8827
Entity
Organization
Contact information
Practice address
2740 AMERICAN BLVD W, SUITE 100, BLOOMINGTON, MN 55431-1203
(952) 858-8827
(952) 858-8835
Mailing address
2740 AMERICAN BLVD W, SUITE 100, BLOOMINGTON, MN 55431-1203
(952) 858-8827
(952) 858-8835
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710045430
—
MN
Enumeration date
08/17/2012
Last updated
08/17/2012
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