National Provider Identifier Database

PRC ENTERPRISES
Intellectual & Developmental Disabilities


Contact Information

PRC ENTERPRISES
650 VINE ST
POPLAR BLUFF, MO63901-5039
Phone: 573-778-1126
Fax: 573-785-4887
Website:
Specialty Taxonomy Code
* Intellectual & Developmental Disabilities 103TM1800X

* Indicates primary specialty

NPI Profile & details for PRC ENTERPRISES

NPI Number 1508925025
Legal business name
LBN
PRC ENTERPRISES
Authorized official PATRICIA CAMPBELL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/08/2006
Last updated 06/12/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 14078480
  • MO Medicaid: 193400000X

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PRC ENTERPRISES

There are currently no reviews for PRC ENTERPRISES


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