Provider Demographics
NPI:1841665403
Name:AKR ENTERPRISE INC
Entity type:Organization
Organization Name:AKR ENTERPRISE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PETRENIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-567-6560
Mailing Address - Street 1:2048 CALADONIA WAY
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-4030
Mailing Address - Country:US
Mailing Address - Phone:630-567-6560
Mailing Address - Fax:
Practice Address - Street 1:2048 CALADONIA WAY
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-4030
Practice Address - Country:US
Practice Address - Phone:630-567-6560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health