Organization
ALPHA & OMEGA HEALTH CARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE JOHNSON (CRNP)
(347) 683-8141
Entity
Organization
Contact information
Practice address
645 WYNN DR NW, UNIT 5892, HUNTSVILLE, AL 35814-6001
(347) 683-8141
Mailing address
645 WYNN DR NW, UNIT 5892, HUNTSVILLE, AL 35814-6001
(347) 683-8141
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1-134759
AL
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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