Provider Demographics
NPI:1093131435
Name:ALPHA PHI ALPHA HOMES, INC
Entity Type:Organization
Organization Name:ALPHA PHI ALPHA HOMES, INC
Other - Org Name:NEIGHBORHOOD DEVELOPMENT CORP OF AKRON
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:FULLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:330-319-2400
Mailing Address - Street 1:662 WOLF LEDGES PKWY
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1511
Mailing Address - Country:US
Mailing Address - Phone:330-376-8787
Mailing Address - Fax:330-376-6437
Practice Address - Street 1:662 WOLF LEDGES PKWY
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1511
Practice Address - Country:US
Practice Address - Phone:330-376-8787
Practice Address - Fax:330-376-6437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care