Provider Demographics
NPI:1326539156
Name:ALFA DEVELOPMENT INC.
Entity Type:Organization
Organization Name:ALFA DEVELOPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
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:973-208-3699
Practice Address - Street 1:24 HOPLER PL
Practice Address - Street 2:
Practice Address - City:NEWFOUNDLAND
Practice Address - State:NJ
Practice Address - Zip Code:07435-1640
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:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0542971Medicaid