Healthcare Provider Details

I. General information

NPI: 1912486622
Provider Name (Legal Business Name): ALORIA HEALTH OF WORCESTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2018
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1183 MAIN ST
WORCESTER MA
01603-2012
US

IV. Provider business mailing address

PO BOX 207977
DALLAS TX
75320-7977
US

V. Phone/Fax

Practice location:
  • Phone: 201-470-5749
  • Fax:
Mailing address:
  • Phone: 201-470-5749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MARINA FREEMAN
Title or Position: EDI/CREDENTIALING SPECIALIST
Credential:
Phone: 615-567-7256