MEDICARE: ALPHA MANAGEMENT, 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	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09874	OTHER	MI	BCBSM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952308470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA MANAGEMENT, INC.

Provider Business Mailing Address
First Line	:	440 E GRAND BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-3637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 E GRAND BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-3637
Country	:	US
Telephone Number	:	313-579-2900
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MOHAMMAD A QAZI
Credential	:
Telephone Number	:	248-386-0300

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	02/08/2010

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Directions to “ALPHA MANAGEMENT, INC. ” Practice Location

Language	Start Address	Practice Location

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