Provider Demographics
NPI:1386251718
Name:PRSM SOLUTIONS LLC
Entity type:Organization
Organization Name:PRSM SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/BRANCH MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANIQUE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-610-6982
Mailing Address - Street 1:10130 NORTHLAKE BLVD STE 214-168
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-1101
Mailing Address - Country:US
Mailing Address - Phone:305-610-6982
Mailing Address - Fax:
Practice Address - Street 1:930 W INDIANTOWN RD STE 203
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6841
Practice Address - Country:US
Practice Address - Phone:561-741-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health