MEDICARE: ALLIANCE CASE MANAGEMENT SERVICES 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
1	251B00000X	Case Management Agency		FL

General Provider Information

NPI Number	:	1639412471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE CASE MANAGEMENT SERVICES INC

Provider Business Mailing Address
First Line	:	8359 BEACON BLVD STE 311
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3062
Country	:	US
Telephone Number	:	239-895-6355
Fax Number	:

Provider Business Practice Location Address
First Line	:	8359 BEACON BLVD STE 311
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3062
Country	:	US
Telephone Number	:	239-895-6355
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARIOSKA SANCHEZ
Credential	:
Telephone Number	:	239-895-6355

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	03/29/2013

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