Organization
ALPHA RESIDENTIAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN HAM CEO (PRESIDENT)
(313) 801-3421
Entity
Organization
Contact information
Practice address
308 CONANT ST # 710, MAUMEE, OH 43537-3358
(419) 573-5997
Mailing address
308 CONANT ST # 710, MAUMEE, OH 43537-3358
(419) 597-5773
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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