Healthcare Provider Details

I. General information

NPI: 1891880852
Provider Name (Legal Business Name): ALLIANCE HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 06/03/2020
Certification Date: 06/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2260 CLIFF RD
EAGAN MN
55122-2316
US

IV. Provider business mailing address

2260 CLIFF RD
EAGAN MN
55122-2316
US

V. Phone/Fax

Practice location:
  • Phone: 651-895-8030
  • Fax:
Mailing address:
  • Phone: 651-895-8030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHFID02838
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: ALANA FIALA
Title or Position: ADMINISTRATOR
Credential:
Phone: 651-895-8030