Healthcare Provider Details

I. General information

NPI: 1609173277
Provider Name (Legal Business Name): ALLIANCE ACCESS SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2011
Last Update Date: 02/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33300 WARREN RD SUITE 12
WESTLAND MI
48185-9627
US

IV. Provider business mailing address

33300 WARREN RD SUITE 12
WESTLAND MI
48185-9627
US

V. Phone/Fax

Practice location:
  • Phone: 734-266-2266
  • Fax: 734-266-2255
Mailing address:
  • Phone: 734-266-2266
  • Fax: 734-266-2255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberD9226F
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberD9226F
License Number StateMI

VIII. Authorized Official

Name: MR. JONATHAN HARMON
Title or Position: PARTNER
Credential:
Phone: 734-266-2266