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Organization
ALPHA ONE STAFFING, LLC
Active
Organization
ALPHA ONE STAFFING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY GARY (DIRECTOR OF ADM./ OWNER)
(864) 399-9627
Entity
Organization
Contact information
Practice address
416 S MAIN ST, SUITE- G, MAULDIN, SC 29662-2260
(864) 399-9627
Mailing address
416 SOUTH MAIN ST., SUITE-G, MALUDIN, SC 29662
(864) 399-9627
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
EX0850
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0850
—
SC
Enumeration date
12/30/2008
Last updated
12/30/2008
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