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General NPI Number Information
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NPI Number | 1235367798
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Entity Type | Organization
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Legal Business Name | ALPHA ALLIED HOME CARE INC.
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 5725 CORPORATE WAY SUITE 203
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2007
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Country | US
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Telephone | 561-712-0711
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Fax | 561-689-0628
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Provider Business Mailing Address
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Address Line | 5725 CORPORATE WAY SUITE 203
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2007
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Country | US
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Telephone | 561-712-0711
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Fax | 561-689-0628
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALLESTA RICKETTS
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Credential |
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Telephone | 561-712-0711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299991425
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License Number State | FL
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