Provider Demographics
NPI:1487950622
Name:ALISHA AND ASSOCIATES
Entity type:Organization
Organization Name:ALISHA AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-840-2931
Mailing Address - Street 1:4001 N KEYSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-2833
Mailing Address - Country:US
Mailing Address - Phone:317-840-2931
Mailing Address - Fax:317-547-5224
Practice Address - Street 1:4001 N KEYSTONE AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-2833
Practice Address - Country:US
Practice Address - Phone:317-840-2931
Practice Address - Fax:317-547-5224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No385H00000XRespite Care FacilityRespite Care