MEDICARE: ALSTROS HOMEHEALTH AGENCY INC

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	:	1770861627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALSTROS HOMEHEALTH AGENCY INC

Provider Business Mailing Address
First Line	:	2417 GREAT BEAR LN
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-2908
Country	:	US
Telephone Number	:	940-891-0772
Fax Number	:	940-891-0772

Provider Business Practice Location Address
First Line	:	2417 GREAT BEAR LN
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-2908
Country	:	US
Telephone Number	:	940-891-0772
Fax Number	:	940-891-0772

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MR. SAMUEL SANG
Credential	:
Telephone Number	:	940-891-0772

Provider Enumeration Date	:	07/26/2011
Last Update Date	:	07/26/2011

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