MEDICARE: ALLIANCE GUIDING SERVICES LLC

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1942025325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE GUIDING SERVICES LLC

Provider Business Mailing Address
First Line	:	4806 CHATHAM GROVE PL
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-1159
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4806 CHATHAM GROVE PL
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-1159
Country	:	US
Telephone Number	:	804-241-9454
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASHLEY GARLAND
Credential	:
Telephone Number	:	804-241-9454

Provider Enumeration Date	:	11/20/2024
Last Update Date	:	11/20/2024

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