# ALPHACARE SUPPORT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326591793
- **Authorized official:** MS. VANDELL COBB (DIRECTOR)
- **Authorized official phone:** (504) 310-5952

## Contact information

- **Practice address:** 7809 AIRLINE DR., STE. 210, METAIRIE, LA 70003
- **Practice address phone:** (504) 731-3100
- **Mailing address:** 803 BAYOU PINES WEST, STE. D, LAKE CHARLES, LA 70601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 2205783292 | LA | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | 2205783292 | LA | — |
| 251S00000X | Community/Behavioral Health Agency | 2205783292 | LA | — |

## Other

- **Enumeration date:** 08/02/2016
- **Last updated:** 12/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 211057505 | — | LA |