Provider Demographics
NPI:1316135031
Name:PRN-CARE, INC
Entity type:Organization
Organization Name:PRN-CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEQUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKITRIC
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:419-283-4261
Mailing Address - Street 1:2235 COLLINGWOOD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43620
Mailing Address - Country:US
Mailing Address - Phone:419-283-4261
Mailing Address - Fax:
Practice Address - Street 1:2235 COLLINGWOOD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43620
Practice Address - Country:US
Practice Address - Phone:419-283-4261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherNON MEDICAL HOME CARE