Provider Demographics
NPI:1306585419
Name:ALPHARAPHA LLC
Entity type:Organization
Organization Name:ALPHARAPHA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OLUSOLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADEWOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-928-3494
Mailing Address - Street 1:20611 SANDY BAY LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-0128
Mailing Address - Country:US
Mailing Address - Phone:919-928-3494
Mailing Address - Fax:
Practice Address - Street 1:20611 SANDY BAY LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-0128
Practice Address - Country:US
Practice Address - Phone:919-928-3494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities