Provider Demographics
NPI:1538429683
Name:ALTRACARE MANAGEMENT AND CONSULTANTS, LLC
Entity type:Organization
Organization Name:ALTRACARE MANAGEMENT AND CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCKNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, INCP
Authorized Official - Phone:972-464-9611
Mailing Address - Street 1:PO BOX 6141
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5104
Mailing Address - Country:US
Mailing Address - Phone:972-464-9611
Mailing Address - Fax:972-546-0551
Practice Address - Street 1:11384 ASHDON LANE
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035
Practice Address - Country:US
Practice Address - Phone:972-464-9611
Practice Address - Fax:972-546-0551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management