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NPI Code Detail

MEDICARE: ALLIANCE HOME HEALTHCARE LLC

MEDICARE: ALLIANCE HOME HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1437566353
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANCE HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 1518 WILLOW LAWN DRIVE
Second Line :
City : RICHMOND
State : VA
Zip : 23230
Country : US
Telephone Number : 804-277-4668
Fax Number :
Provider Business Practice Location Address
First Line : 1518 WILLOW LAWN DR
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3419
Country : US
Telephone Number : 804-277-4668
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MALIK I ABDALLA
Credential :
Telephone Number : 804-277-4668
Provider Enumeration Date : 07/14/2014
Last Update Date : 07/14/2014

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Directions to “ALLIANCE HOME HEALTHCARE LLC ” Practice Location

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