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Organization

ALPHA HOME HEALTH/MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH ARASE EREYI (ADMINISTRATOR)
(314) 721-1575
Entity
Organization

Contact information

Practice address
8147 DELMAR BLVD, SUITE 210, SAINT LOUIS, MO 63130-3735
(314) 721-1575
(314) 721-0545
Mailing address
8147 DELMAR BLVD, SUITE 210, SAINT LOUIS, MO 63130-3735
(314) 721-1575
(314) 721-0545

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063682110
MO
05
1174700116
MO
Enumeration date
03/05/2008
Last updated
05/17/2011
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