Provider Demographics
NPI:1639807381
Name:ALAKARA HEALTH LLC
Entity Type:Organization
Organization Name:ALAKARA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JACKLINE
Authorized Official - Middle Name:CHELIMO
Authorized Official - Last Name:EKAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-494-0922
Mailing Address - Street 1:6340 W WARNER ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-0138
Mailing Address - Country:US
Mailing Address - Phone:915-494-0922
Mailing Address - Fax:
Practice Address - Street 1:6340 W WARNER ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-0138
Practice Address - Country:US
Practice Address - Phone:915-494-0922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness