Provider Demographics
NPI:1770861627
Name:ALSTROS HOMEHEALTH AGENCY INC
Entity Type:Organization
Organization Name:ALSTROS HOMEHEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-891-0772
Mailing Address - Street 1:2417 GREAT BEAR LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-2908
Mailing Address - Country:US
Mailing Address - Phone:940-891-0772
Mailing Address - Fax:940-891-0772
Practice Address - Street 1:2417 GREAT BEAR LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-2908
Practice Address - Country:US
Practice Address - Phone:940-891-0772
Practice Address - Fax:940-891-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health