MEDICARE: CRIS HEALTHCARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1437439478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRIS HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	4402 BROADWAY BLVD STE 6E
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-8263
Country	:	US
Telephone Number	:	469-321-4162
Fax Number	:

Provider Business Practice Location Address
First Line	:	4402 BROADWAY BLVD STE 6E
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-8263
Country	:	US
Telephone Number	:	469-321-4162
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. CHI JENNIFER OBED
Credential	:	RN
Telephone Number	:	469-321-4162

Provider Enumeration Date	:	08/22/2011
Last Update Date	:	08/22/2011

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