Provider Demographics
NPI:1417160482
Name:ALCARE LLC
Entity Type:Organization
Organization Name:ALCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEGIUSTI
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:405-235-7784
Mailing Address - Street 1:5000 JESSIE JAMES DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-7910
Mailing Address - Country:US
Mailing Address - Phone:405-235-7784
Mailing Address - Fax:405-272-5224
Practice Address - Street 1:5000 JESSIE JAMES DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-7910
Practice Address - Country:US
Practice Address - Phone:405-235-7784
Practice Address - Fax:405-272-5224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services