Provider Demographics
NPI:1154862233
Name:ALKRIST HOME HEALTH INC
Entity Type:Organization
Organization Name:ALKRIST HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:INYANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-369-4435
Mailing Address - Street 1:596 PENDLETON DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-7346
Mailing Address - Country:US
Mailing Address - Phone:972-369-4435
Mailing Address - Fax:972-369-4435
Practice Address - Street 1:596 PENDLETON DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-7346
Practice Address - Country:US
Practice Address - Phone:972-369-4435
Practice Address - Fax:972-369-4435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health