Healthcare Provider Details

I. General information

NPI: 1831171677
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: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6423 SHELBY VIEW DR SUITE 104
MEMPHIS TN
38134-7614
US

IV. Provider business mailing address

6423 SHELBY VIEW DR SUITE 104
MEMPHIS TN
38134-7614
US

V. Phone/Fax

Practice location:
  • Phone: 901-516-1500
  • Fax: 901-380-7252
Mailing address:
  • Phone: 901-516-1500
  • Fax: 901-380-7252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number3548
License Number StateTN

VIII. Authorized Official

Name: MR. LAWRENCE A. ROBINSON
Title or Position: ADMINISTRATIVE DIRECTOR
Credential: PHARMD
Phone: 901-516-1685