Provider Demographics
NPI:1174765085
Name:PRO-HEALTH SERVICES LLC
Entity type:Organization
Organization Name:PRO-HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TORRANCE
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:404-861-5951
Mailing Address - Street 1:106 N HILL PKWY
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1229
Mailing Address - Country:US
Mailing Address - Phone:404-861-5951
Mailing Address - Fax:404-581-5244
Practice Address - Street 1:106 N HILL PKWY
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-1229
Practice Address - Country:US
Practice Address - Phone:404-861-5951
Practice Address - Fax:404-581-5244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health