Provider Demographics
NPI:1437388824
Name:PRISTINE HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:PRISTINE HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:AKOUETE
Authorized Official - Last Name:ADJETEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-881-5551
Mailing Address - Street 1:3913 ROCKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-7796
Mailing Address - Country:US
Mailing Address - Phone:972-881-5551
Mailing Address - Fax:972-881-5553
Practice Address - Street 1:3913 ROCKWOOD DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-7796
Practice Address - Country:US
Practice Address - Phone:972-881-5551
Practice Address - Fax:972-881-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health