Provider Demographics
NPI:1841503836
Name:ALABASTER ANOINTED HOME CARE
Entity type:Organization
Organization Name:ALABASTER ANOINTED HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTINIQUE
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:BOSIER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:757-826-1116
Mailing Address - Street 1:50 GRANGER DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-4633
Mailing Address - Country:US
Mailing Address - Phone:757-826-1116
Mailing Address - Fax:757-825-0257
Practice Address - Street 1:50 GRANGER DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-4633
Practice Address - Country:US
Practice Address - Phone:757-826-1116
Practice Address - Fax:757-825-0257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-19
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA117065251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health