Provider Demographics
NPI:1417176355
Name:ALPHA FAMILY LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:ALPHA FAMILY LIMITED PARTNERSHIP
Other - Org Name:BISHOP'S COURT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREAU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:920-435-2729
Mailing Address - Street 1:289 E SAINT JOSEPH ST
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54301-2239
Mailing Address - Country:US
Mailing Address - Phone:920-435-2729
Mailing Address - Fax:920-435-3403
Practice Address - Street 1:289 E SAINT JOSEPH ST
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-2239
Practice Address - Country:US
Practice Address - Phone:920-435-2729
Practice Address - Fax:920-435-3403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility