Provider Demographics
NPI:1306403621
Name:ALFA DEVELOPMENT INC
Entity Type:Organization
Organization Name:ALFA DEVELOPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RUNNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-697-1010
Mailing Address - Street 1:39 OAK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEWFOUNDLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07435-1403
Mailing Address - Country:US
Mailing Address - Phone:973-697-1010
Mailing Address - Fax:
Practice Address - Street 1:1783 UNION VALLEY RD
Practice Address - Street 2:
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-2232
Practice Address - Country:US
Practice Address - Phone:973-697-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0542971Medicaid