Provider Demographics
NPI:1164970786
Name:ALPHA-LINKS HOME HEALTH
Entity Type:Organization
Organization Name:ALPHA-LINKS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DARE
Authorized Official - Last Name:FAGBOHUN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:202-830-5965
Mailing Address - Street 1:742 ACROPOLIS WAY APT 205
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-2275
Mailing Address - Country:US
Mailing Address - Phone:202-830-5965
Mailing Address - Fax:301-329-2312
Practice Address - Street 1:742 ACROPOLIS WAY APT 205
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-2275
Practice Address - Country:US
Practice Address - Phone:202-830-5965
Practice Address - Fax:301-329-2312
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPHA-LINKS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health