Organization
PRN HOME HEALTH AND HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA J FULMER (ASSISTANT ADMINISTRATOR)
(785) 456-7764
Entity
Organization
Contact information
Practice address
1010 LINCOLN ST, WAMEGO, KS 66547-1502
(785) 456-7764
(785) 456-7194
Mailing address
1010 LINCOLN ST, P.O.BOX 228, WAMEGO, KS 66547-1502
(785) 456-7764
(785) 456-7194
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
A075003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100017660B
—
KS
Enumeration date
11/01/2006
Last updated
06/16/2011
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