Healthcare Provider Details

I. General information

NPI: 1790807519
Provider Name (Legal Business Name): ALLIANCE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 04/19/2021
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 GOODMAN RD E STE 200
SOUTHAVEN MS
38671-9504
US

IV. Provider business mailing address

6400 SHELBY VIEW SUITE 101
MEMPHIS TN
38134
US

V. Phone/Fax

Practice location:
  • Phone: 901-516-1400
  • Fax:
Mailing address:
  • Phone: 901-516-1800
  • Fax: 901-380-1840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EUGENE CASHMAN
Title or Position: PRESIDENT
Credential:
Phone: 901-516-1400