Provider Demographics
NPI:1093045957
Name:ALLIED HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:ALLIED HOME HEALTH AGENCY, INC.
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DOLLAGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:916-749-2224
Mailing Address - Street 1:31 CADMAN CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1622
Mailing Address - Country:US
Mailing Address - Phone:916-749-2224
Mailing Address - Fax:
Practice Address - Street 1:7509 MADISON AVE
Practice Address - Street 2:BLDG D., SUITE 206
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-7467
Practice Address - Country:US
Practice Address - Phone:916-749-2224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health