Provider Demographics
NPI:1376095125
Name:FAMILY ALLIANCE HOME CARE
Entity Type:Organization
Organization Name:FAMILY ALLIANCE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED SENIOR CARE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-225-6162
Mailing Address - Street 1:300 E BUSINESS WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2389
Mailing Address - Country:US
Mailing Address - Phone:513-225-6162
Mailing Address - Fax:513-672-9422
Practice Address - Street 1:300 E BUSINESS WAY STE 200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-2389
Practice Address - Country:US
Practice Address - Phone:513-225-6162
Practice Address - Fax:513-672-9422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care