Provider Demographics
NPI:1699153361
Name:ALIVIO CORPORATION
Entity type:Organization
Organization Name:ALIVIO CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BOZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-484-6410
Mailing Address - Street 1:901 W MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49331-1581
Mailing Address - Country:US
Mailing Address - Phone:616-425-7025
Mailing Address - Fax:877-542-6420
Practice Address - Street 1:901 W MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:LOWELL
Practice Address - State:MI
Practice Address - Zip Code:49331-1581
Practice Address - Country:US
Practice Address - Phone:616-425-7025
Practice Address - Fax:877-542-6420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5306004040332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5463000002Medicare NSC