Organization
CORAM ALTERNATE SITE SERVICES, INC.
Active
Parent organization
CORAM ALTERNATE SITE SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM ALTERNATE SITE SERVICES, INC.
Authorized official
TRICIA L LACAVICH (PRESIDENT)
(318) 407-1785
Entity
Organization
Contact information
Practice address
8013 FLINT ST, LENEXA, KS 66214-3335
(913) 599-1090
(913) 599-1195
Mailing address
1675 BROADWAY, SUITE 900, DENVER, CO 80202-4675
(719) 672-8631
(719) 298-0047
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
A-046-062
KS
Other
Enumeration date
07/01/2006
Last updated
10/19/2022
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