Organization
ALLY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD OKPARA (EXECUTIVE DIRECTOR)
(919) 961-0000
Entity
Organization
Contact information
Practice address
3811 TARHEEL DR STE 106, RALEIGH, NC 27609-7548
(919) 961-0000
Mailing address
3811 TARHEEL DR STE 106, RALEIGH, NC 27609-7548
(919) 961-0000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
11/04/2020
Last updated
02/20/2024
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