Healthcare Provider Details

I. General information

NPI: 1902026107
Provider Name (Legal Business Name): ALLIANCE HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 LAKEVIEW DR SUITE B
SOMERVILLE TN
38068
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 901-465-4891
  • Fax: 901-465-4770
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 Number0000000233
License Number StateTN

VIII. Authorized Official

Name: MR. J MITCH GRAVES
Title or Position: PRESIDENT
Credential:
Phone: 901-516-1401