MEDICARE: ALLIANCE FOR SENIORS, 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	251E00000X	Home Health Agency	HCO-09250	VA

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	:	1710125885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE FOR SENIORS, INC.

Provider Business Mailing Address
First Line	:	6966B FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1606
Country	:	US
Telephone Number	:	804-323-6900
Fax Number	:	804-323-9616

Provider Business Practice Location Address
First Line	:	6966B FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1606
Country	:	US
Telephone Number	:	804-323-6900
Fax Number	:	804-323-9616

Authorized Official
Title or Position	:	CEO/ PRESIDENT
Name	:	MR. DONALD C BURRIESCI
Credential	:
Telephone Number	:	804-323-6900

Provider Enumeration Date	:	01/28/2009
Last Update Date	:	01/28/2009

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