Organization
ALPHA AND OMEGA RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A BOYD (ADMINISTRATOR)
(813) 971-5929
Entity
Organization
Contact information
Practice address
15115 19TH STREET, LUTZ, FL 33559
(813) 971-5929
Mailing address
15115 19TH STREET, LUTZ, FL 33559
(813) 971-5929
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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