Provider Demographics
NPI:1003458506
Name:GLOBAL ALLIANCE ENTREPRENEUR, LLC
Entity Type:Organization
Organization Name:GLOBAL ALLIANCE ENTREPRENEUR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-223-8646
Mailing Address - Street 1:8941 VANDEGRIFF WAY
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-1149
Mailing Address - Country:US
Mailing Address - Phone:612-387-6850
Mailing Address - Fax:763-710-5876
Practice Address - Street 1:8941 VANDEGRIFF WAY
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-1149
Practice Address - Country:US
Practice Address - Phone:612-387-6850
Practice Address - Fax:763-710-5876
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL ALLIANCE ENTREPRENEUR, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health