Organization
ALPHA HEALTHCARE AND NURSING SRVC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOYA L GADDIS-BROWN R.N. (ADMINISTRATOR)
(601) 977-1198
Entity
Organization
Contact information
Practice address
407 BRIARWOOD DR, JACKSON, MS 39206-3040
(601) 977-1198
(601) 977-1193
Mailing address
PO BOX 59446, JACKSON, MS 39284-9446
(601) 977-1198
(601) 977-1193
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
PENDING
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06636878
—
MS
Enumeration date
11/06/2006
Last updated
08/22/2020
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