Provider Demographics
NPI:1396108858
Name:ALLIANCE SUPPORT COORDINATION LLC
Entity type:Organization
Organization Name:ALLIANCE SUPPORT COORDINATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIFRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SZANZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-860-1157
Mailing Address - Street 1:13 EMPIRE LN
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5162
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13 EMPIRE LN
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5162
Practice Address - Country:US
Practice Address - Phone:732-239-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management