Organization
ALBERTA PROFESSIONAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN DEREK MITCHELL B.S. (OPERATIONS MANAGER)
(336) 273-2640
Entity
Organization
Contact information
Practice address
1 OAK PLZ, ASHEVILLE, NC 28801-3008
(828) 255-1070
(828) 255-1070
Mailing address
PO BOX 14884, GREENSBORO, NC 27415-4884
(336) 273-2640
(336) 273-6522
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418317
—
NC
Enumeration date
05/28/2015
Last updated
05/28/2015
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