Organization
ALPHA OMEGA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KENNETH HORNE (PRESIDENT)
(919) 844-1008
Entity
Organization
Contact information
Practice address
103 EAST HILL STREET, SUITE 3, KENANSVILLE, NC 28349
(910) 296-0065
Mailing address
5950 SIX FORKS RD, RALEIGH, NC 27609-3895
(919) 844-1008
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408520
—
NC
05
—
8301485
—
NC
Enumeration date
02/06/2007
Last updated
02/09/2009
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