Provider Demographics
NPI:1235335100
Name:ALLIANCE COMMUNITY CARE, LLC
Entity Type:Organization
Organization Name:ALLIANCE COMMUNITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VP OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:IN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-215-4600
Mailing Address - Street 1:2603 ORSOBELLO CV
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4307
Mailing Address - Country:US
Mailing Address - Phone:512-215-4600
Mailing Address - Fax:512-215-4366
Practice Address - Street 1:2603 ORSOBELLO CV
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4307
Practice Address - Country:US
Practice Address - Phone:512-215-4600
Practice Address - Fax:512-215-4366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management