| NPI | 1760678767 |
|---|---|
| Doing Business As | PRO SERV |
| Entity Type | Organization |
| Authorized Contact | RANDOLPH L KERNON Vice President 386-257-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 251J00000X Nursing Care | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2008-06-12 |