MEDICARE: ALLIANCE HEALTHCARE STAFFING CORP.

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

General Provider Information

NPI Number	:	1902124324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE HEALTHCARE STAFFING CORP.

Provider Business Mailing Address
First Line	:	1239 MOUNT VERNON ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-5417
Country	:	US
Telephone Number	:	321-251-7627
Fax Number	:	321-251-7627

Provider Business Practice Location Address
First Line	:	1239 MOUNT VERNON ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-5417
Country	:	US
Telephone Number	:	321-251-7627
Fax Number	:	321-445-6072

Authorized Official
Title or Position	:	MANAGER
Name	:	ROSAURA CASTRO
Credential	:
Telephone Number	:	321-251-7627

Provider Enumeration Date	:	05/10/2010
Last Update Date	:	11/07/2013

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