Provider Demographics
NPI:1225427289
Name:A BETTER ALTERNATIVE NURSING AVENCY, INC
Entity Type:Organization
Organization Name:A BETTER ALTERNATIVE NURSING AVENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE MARKETING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:TYRONE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-277-0930
Mailing Address - Street 1:1250 OLD MADISON ROAD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MD
Mailing Address - Zip Code:21648
Mailing Address - Country:US
Mailing Address - Phone:888-615-0177
Mailing Address - Fax:
Practice Address - Street 1:204 CEDAR STREET
Practice Address - Street 2:
Practice Address - City:CANBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613
Practice Address - Country:US
Practice Address - Phone:888-615-0177
Practice Address - Fax:888-433-6225
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A BETTER ALTERNATIVE NURSING AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-14
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3336251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD54237650-00Medicaid