Organization
ALPHA OMEGA HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K HORNE JR. (CEO PRESIDENT)
(919) 844-1008
Entity
Organization
Contact information
Practice address
1260 COLLEGE AVE, SUITE 1, WILKESBORO, NC 28697-2700
(336) 667-5111
Mailing address
5950 SIX FORKS RD, RALEIGH, NC 27609-3895
(919) 844-1008
(919) 844-0042
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106394
—
NC
01
—
8302001B
MEDICAID COMM. SUPPORT
NC
Enumeration date
02/28/2007
Last updated
06/06/2008
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