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NPI Code Detail

MEDICARE: ALOFA BEHAVIORAL HEALTHCARE, INC.

MEDICARE: ALOFA BEHAVIORAL HEALTHCARE, INC.
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
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588718993
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALOFA BEHAVIORAL HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 2408 COMMERCE RD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7505
Country : US
Telephone Number : 910-934-2636
Fax Number :
Provider Business Practice Location Address
First Line : 2408 COMMERCE RD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7505
Country : US
Telephone Number : 910-934-2636
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. TRISHE TAULA
Credential :
Telephone Number : 910-934-2636
Provider Enumeration Date : 01/22/2007
Last Update Date : 07/08/2008

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