Healthcare Provider Details

I. General information

NPI: 1740262583
Provider Name (Legal Business Name): ALLIANCE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 SHELBY VIEW DR SUITE 101
MEMPHIS TN
38134-7659
US

IV. Provider business mailing address

6400 SHELBY VIEW DR SUITE 101
MEMPHIS TN
38134-7659
US

V. Phone/Fax

Practice location:
  • Phone: 901-516-1820
  • Fax: 901-516-1880
Mailing address:
  • Phone: 901-516-1800
  • Fax: 901-516-1401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0000000233
License Number StateTN

VIII. Authorized Official

Name: EUGENE CASHMAN
Title or Position: PRESIDENT
Credential:
Phone: 901-516-1820