Healthcare Provider Details

I. General information

NPI: 1376965079
Provider Name (Legal Business Name): ALPHA MANAGEMENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2014
Last Update Date: 01/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412 DEARBORN DR
DURHAM NC
27704-3418
US

IV. Provider business mailing address

2 CONSULTANT PL
DURHAM NC
27707-3598
US

V. Phone/Fax

Practice location:
  • Phone: 919-419-0043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: TY COX
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 919-419-0043