Provider Demographics
NPI:1437761293
Name:ALLIANCE CARE LLC
Entity Type:Organization
Organization Name:ALLIANCE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:OSCAR
Authorized Official - Last Name:DDUMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-887-3370
Mailing Address - Street 1:15000 POTOMAC TOWN PL STE 100
Mailing Address - Street 2:#148
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191
Mailing Address - Country:US
Mailing Address - Phone:703-887-3370
Mailing Address - Fax:703-740-3730
Practice Address - Street 1:4020 MIDDLETON LOOP APT 204
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:VA
Practice Address - Zip Code:22025-2111
Practice Address - Country:US
Practice Address - Phone:703-887-3370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-21
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health