Organization Name: | ALPHA ONE STAFFING, LLC |
NPI Number: | 1881830560 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROY GARY (DIRECTOR OF ADM./ OWNER) |
Mailing Address: | 416 S Main St Suite- G Mauldin |
State: | SC US |
Postal Code: | 296622260 |
Phone Number: | 8643999627 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2008 |
NPI Last Update Date: | 12/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | EX0850 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |