Provider Demographics
NPI:1154584282
Name:ALPHA MEGA WORKS, INC
Entity type:Organization
Organization Name:ALPHA MEGA WORKS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TYSHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-315-8351
Mailing Address - Street 1:328 RICHMOND FARM CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7339
Mailing Address - Country:US
Mailing Address - Phone:803-315-8351
Mailing Address - Fax:803-520-6217
Practice Address - Street 1:328 RICHMOND FARM CIR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7339
Practice Address - Country:US
Practice Address - Phone:803-315-8351
Practice Address - Fax:803-520-6217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable