Organization
ALPHA SUPPORTED LIVING SERVICES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA B, CARTER (COMMUNITY LIAISON)
(225) 751-2409
Entity
Organization
Contact information
Practice address
5917 JONES CREEK RD, 200 A, BATON ROUGE, LA 70817-3000
(225) 751-2409
(225) 751-2466
Mailing address
PO BOX 77710, BATON ROUGE, LA 70879-7710
(225) 751-2409
(225) 751-2466
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
15003
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15003
LICENSE
LA
Enumeration date
02/29/2008
Last updated
02/29/2008
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