MEDICARE: 1ST ALLIANCE HOME HEALTH AGENCY 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
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1467862193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST ALLIANCE HOME HEALTH AGENCY LLC

Provider Business Mailing Address
First Line	:	705 INGRAHAM AVE
Second Line	:	STE 5
City	:	HAINES CITY
State	:	FL
Zip	:	33844-4327
Country	:	US
Telephone Number	:	917-353-8523
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 INGRAHAM AVE
Second Line	:	STE 5
City	:	HAINES CITY
State	:	FL
Zip	:	33844-4327
Country	:	US
Telephone Number	:	917-353-8523
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KAREEN FRANCS
Credential	:	RN
Telephone Number	:	917-353-8523

Provider Enumeration Date	:	05/02/2014
Last Update Date	:	05/02/2014

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