| Organization Name: | ALLIANCE SERVICE ORGANIZATION |
| NPI Number: | 1720223738 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY BUSBY (AGENT TNPHA) |
| Mailing Address: | 6100 Western Pl 500 Fort Worth |
| State: | TX US |
| Postal Code: | 761074600 |
| Phone Number: | 8002761387 |
| Fax Number: | |
| NPI Enumeration Date: | 12/04/2008 |
| NPI Last Update Date: | 12/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |