Organization
CORAM ALTERNATE SITE SERVICES, INC.
Active
Parent organization
CORAM ALTERNATE SITE SERVICES, INC.
Other names
Coram CVS/specialty Infusion Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM ALTERNATE SITE SERVICES, INC.
Authorized official
TRICIA L LACAVICH (PRESIDENT)
(318) 407-1785
Entity
Organization
Contact information
Practice address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(813) 639-4500
Mailing address
555 17TH ST, SUITE 1500, DENVER, CO 80202-3950
(303) 672-8631
(303) 298-0047
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
04/21/2014
Last updated
10/21/2022
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