# ALPHA RESIDENTIAL SERVICES LLC

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

## Provider details

- **NPI number:** 1548750516
- **Authorized official:** NICOLE OKWOSHAH (CNA)
- **Authorized official phone:** (984) 232-8887

## Contact information

- **Practice address:** 5842 FARINGDON PL STE 2, RALEIGH, NC 27609-3930
- **Practice address phone:** (984) 232-8887
- **Mailing address:** 5842 FARINGDON PL STE 2, RALEIGH, NC 27609-3930
- **Mailing address fax:** (984) 232-8984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2018
- **Last updated:** 05/15/2018