Healthcare Provider Details

I. General information

NPI: 1568903649
Provider Name (Legal Business Name): ALECTO HEALTHCARE SERVICES WHEELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 EOFF ST
WHEELING WV
26003-3823
US

IV. Provider business mailing address

16310 BAKE PKWY SUITE 200
IRVINE CA
92618-4684
US

V. Phone/Fax

Practice location:
  • Phone: 304-219-2822
  • Fax: 304-219-2823
Mailing address:
  • Phone: 949-783-3976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL SARRAO
Title or Position: CEO
Credential:
Phone: 949-783-3976