Provider Demographics
NPI:1467862193
Name:1ST ALLIANCE HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:1ST ALLIANCE HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:917-353-8523
Mailing Address - Street 1:705 INGRAHAM AVE
Mailing Address - Street 2:STE 5
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-4327
Mailing Address - Country:US
Mailing Address - Phone:917-353-8523
Mailing Address - Fax:
Practice Address - Street 1:705 INGRAHAM AVE
Practice Address - Street 2:STE 5
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-4327
Practice Address - Country:US
Practice Address - Phone:917-353-8523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health