Organization
PROFESSIONAL RESOURCE NETWORK - PRN - CORPORATION
Active
Other names
Professional Resource Network Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARIE L DEVOLITES (PRESIDENT)
(952) 858-8807
Entity
Organization
Contact information
Practice address
4951 W 77TH ST STE 110, EDINA, MN 55435-4802
(952) 858-8807
Mailing address
574 PRAIRIE CENTER DR STE 135-279, EDEN PRAIRIE, MN 55344-7930
(952) 858-8807
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
328388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
611727900
—
MN
Enumeration date
12/05/2006
Last updated
11/17/2023
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