Organization
ALPHA O HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWAME OWUSU-POKU (CEO)
(443) 600-6092
Entity
Organization
Contact information
Practice address
6789 OLD WATERLOO RD APT 706, ELKRIDGE, MD 21075-6737
(443) 600-6092
Mailing address
6789 OLD WATERLOO RD APT 706, ELKRIDGE, MD 21075-6737
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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