# ALEGNA ALS LLC

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

## Provider details

- **NPI number:** 1407382625
- **Authorized official:** ANGELA JACOBS JORDAN R.N. (OWNER ADMINISTRATOR)
- **Authorized official phone:** (678) 992-2677

## Contact information

- **Practice address:** 5696 PEACHTREE PARKWAY, SUITE A, PEACHTREE CORNERS, GA 30092-2835
- **Practice address phone:** (678) 992-2677
- **Mailing address:** PO BOX 1726, TUCKER, GA 30085-1726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 207287246D | GA | Yes |

## Other

- **Enumeration date:** 05/08/2017
- **Last updated:** 05/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 207287246D | — | GA |