Provider Demographics
NPI:1437439478
Name:CRIS HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:CRIS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHI
Authorized Official - Middle Name:JENNIFER
Authorized Official - Last Name:OBED
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-321-4162
Mailing Address - Street 1:4402 BROADWAY BLVD STE 6E
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-8263
Mailing Address - Country:US
Mailing Address - Phone:469-321-4162
Mailing Address - Fax:
Practice Address - Street 1:4402 BROADWAY BLVD STE 6E
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-8263
Practice Address - Country:US
Practice Address - Phone:469-321-4162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health