Provider Demographics
NPI:1437456852
Name:STREAM HEALTHCARE, INC
Entity Type:Organization
Organization Name:STREAM HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ETUOKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-413-9326
Mailing Address - Street 1:6306 WINDCREST DR
Mailing Address - Street 2:2427
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6306 WINDCREST DR
Practice Address - Street 2:2427
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3026
Practice Address - Country:US
Practice Address - Phone:214-413-9326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-21
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health