MEDICARE: A & L HEALTH CARE SERVICES, 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
1	251E00000X	Home Health Agency	010027	TX

General Provider Information

NPI Number	:	1932132727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & L HEALTH CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	1927 VILLAGE PARK DRIVE
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-3076
Country	:	US
Telephone Number	:	281-261-6655
Fax Number	:	281-261-6657

Provider Business Practice Location Address
First Line	:	1927 VILLAGE PARK DRIVE
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-3076
Country	:	US
Telephone Number	:	281-261-6655
Fax Number	:	281-261-6657

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AMAKA OKOROHA
Credential	:
Telephone Number	:	281-261-6655

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	01/03/2011

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