MEDICARE: ALLIES, 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other Identifiers

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

General Provider Information

NPI Number	:	1649650268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIES, INC.

Provider Business Mailing Address
First Line	:	1262 WHITEHORSE HAMILTON SQUARE RD
Second Line	:	BUILDING A SUITE 101
City	:	HAMILTON
State	:	NJ
Zip	:	08690-3711
Country	:	US
Telephone Number	:	609-689-0136
Fax Number	:	609-581-4891

Provider Business Practice Location Address
First Line	:	26 UNITY CT
Second Line	:
City	:	MIDDLETOWN
State	:	NJ
Zip	:	07748-3486
Country	:	US
Telephone Number	:	609-689-0136
Fax Number	:	609-581-4891

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MIACHAEL HAGGERTY
Credential	:	MBA
Telephone Number	:	609-689-0136

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	07/23/2021

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Directions to “ALLIES, INC. ” Practice Location

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