# ALPHA LIFE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Professional Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477944221
- **Authorized official:** STACEY BARAGAR (VICE PRESIDENT)
- **Authorized official phone:** (616) 499-2050

## Contact information

- **Practice address:** 3351 CLAYSTONE ST SE, SUITE 102, GRAND RAPIDS, MI 49546-5794
- **Practice address phone:** (616) 499-2050
- **Practice address fax:** (616) 499-2070
- **Mailing address:** 3351 CLAYSTONE ST SE, SUITE 102, GRAND RAPIDS, MI 49546-5794
- **Mailing address phone:** (616) 499-2050
- **Mailing address fax:** (616) 499-2070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 02/16/2015