Healthcare Provider Details

I. General information

NPI: 1326539156
Provider Name (Legal Business Name): ALFA DEVELOPMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 05/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HOPLER PL
NEWFOUNDLAND NJ
07435-1640
US

IV. Provider business mailing address

39 OAK RIDGE RD
NEWFOUNDLAND NJ
07435-1403
US

V. Phone/Fax

Practice location:
  • Phone: 973-697-1010
  • Fax:
Mailing address:
  • Phone: 973-697-1010
  • Fax: 973-208-3699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. LISA M RUNNE
Title or Position: MEDICAL BILLER
Credential:
Phone: 973-697-1010