Provider Demographics
NPI:1467778191
Name:ALLIANCE COMMUNITY HEALTH CENTER.INC
Entity Type:Organization
Organization Name:ALLIANCE COMMUNITY HEALTH CENTER.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:IZUNOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-924-4564
Mailing Address - Street 1:1818 SHERIDAN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-2113
Mailing Address - Country:US
Mailing Address - Phone:954-924-4564
Mailing Address - Fax:954-924-6670
Practice Address - Street 1:1818 SHERIDAN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-2113
Practice Address - Country:US
Practice Address - Phone:954-924-4564
Practice Address - Fax:954-924-6670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health