Organization
ALPHA-CARE HEALTH PROFESSIONALS, LLC
Active
Parent organization
ALPHA-CARE HEALTH PROEFESSIONALS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA-CARE HEALTH PROEFESSIONALS, LLC
Authorized official
MR. DAVID L LINE (PRESIDENT)
(217) 398-4100
Entity
Organization
Contact information
Practice address
6919 N KNOXVILLE AVE STE 102, PEORIA, IL 61614-2817
(309) 691-3032
Mailing address
PO BOX 62, CHAMPAIGN, IL 61824-0062
(217) 398-4100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010432
IL
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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