Organization
ALPHASUPPORTEDLIVINGSERVICESINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA B CARTER COMMUNITYLIAISON (COMMUNITYLIAISON)
(504) 834-8086
Entity
Organization
Contact information
Practice address
3401 RIDGELAKE DR, 105, METAIRIE, LA 70002-3713
(504) 834-8086
(504) 834-8098
Mailing address
PO BOX 77710, BATON ROUGE, LA 70879-7710
(504) 834-8068
(504) 834-8098
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7463
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463825
SUBMITTERID
LA
Enumeration date
07/13/2007
Last updated
03/03/2008
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