Provider Demographics
NPI:1124676200
Name:ALLIANCE HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:ALLIANCE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TUNJI
Authorized Official - Middle Name:
Authorized Official - Last Name:OWOEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-960-1917
Mailing Address - Street 1:313 DARK STAR WAY
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060
Mailing Address - Country:US
Mailing Address - Phone:443-960-1917
Mailing Address - Fax:
Practice Address - Street 1:313 DARK STAR WAY
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060
Practice Address - Country:US
Practice Address - Phone:443-960-1917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health