# CORAM ALTERNATE SITE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CORAM ALTERNATE SITE SERVICES, INC.
- **Other names:** Coram CVS/specialty Infusion Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780004564
- **Legal business name:** CORAM ALTERNATE SITE SERVICES, INC.
- **Authorized official:** TRICIA L LACAVICH (PRESIDENT)
- **Authorized official phone:** (318) 407-1785

## Contact information

- **Practice address:** 13813 METRO PKWY, FORT MYERS, FL 33912-4343
- **Practice address phone:** (813) 639-4500
- **Mailing address:** 555 17TH ST, SUITE 1500, DENVER, CO 80202-3950
- **Mailing address phone:** (303) 672-8631
- **Mailing address fax:** (303) 298-0047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/21/2014
- **Last updated:** 10/21/2022