Provider Demographics
NPI:1235370438
Name:PRINCE HEALTH INC
Entity Type:Organization
Organization Name:PRINCE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:O
Authorized Official - Last Name:KOLLEADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-986-2193
Mailing Address - Street 1:1509 EMERALD ISLE DR
Mailing Address - Street 2:#2102
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-6519
Mailing Address - Country:US
Mailing Address - Phone:214-986-2193
Mailing Address - Fax:
Practice Address - Street 1:1509 EMERALD ISLE DR
Practice Address - Street 2:#2102
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-6519
Practice Address - Country:US
Practice Address - Phone:214-986-2193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health