Provider Demographics
NPI:1235990052
Name:ALPHA WELLNESS CENTER AND SPA
Entity Type:Organization
Organization Name:ALPHA WELLNESS CENTER AND SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FERDINAND
Authorized Official - Middle Name:
Authorized Official - Last Name:OSUJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-622-4577
Mailing Address - Street 1:410 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-3718
Mailing Address - Country:US
Mailing Address - Phone:256-622-4577
Mailing Address - Fax:256-438-5108
Practice Address - Street 1:410 BROAD ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-3718
Practice Address - Country:US
Practice Address - Phone:256-622-4577
Practice Address - Fax:256-438-5108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service