Organization
ALPHA HOMECARE & THERAPY AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOCELYN CHAN CASINGAL P.T. (MANAGER)
(321) 254-1070
Entity
Organization
Contact information
Practice address
3040 N WICKHAM RD, SUITE 7, MELBOURNE, FL 32935-2369
(321) 254-1070
(321) 254-1037
Mailing address
3040 N WICKHAM RD, SUITE 7, MELBOURNE, FL 32935-2369
(321) 254-1070
(321) 254-1037
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299993409
AHCA
FL
Enumeration date
09/07/2007
Last updated
03/25/2009
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