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NPI Code Detail

MEDICARE: ALFA HOME HEALTHCARE LLC

MEDICARE: ALFA HOME HEALTHCARE 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1740572304
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALFA HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 1793 BLOOMINGDALE RD
Second Line : SUITE 5
City : GLENDALE HEIGHTS
State : IL
Zip : 60139-3800
Country : US
Telephone Number : 630-982-7420
Fax Number : 630-682-1603
Provider Business Practice Location Address
First Line : 1793 BLOOMINGDALE RD
Second Line : SUITE 5
City : GLENDALE HEIGHTS
State : IL
Zip : 60139-3800
Country : US
Telephone Number : 630-982-7420
Fax Number : 630-682-1603
Authorized Official
Title or Position : MANAGER
Name : SYED A MAQSOOD
Credential :
Telephone Number : 630-982-7420
Provider Enumeration Date : 05/13/2011
Last Update Date : 05/13/2011

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