Provider Demographics
NPI:1477737146
Name:ALLIUM HOME CARE INC.
Entity Type:Organization
Organization Name:ALLIUM HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUNSTALL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-387-6067
Mailing Address - Street 1:333 FRONT ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01013-2969
Mailing Address - Country:US
Mailing Address - Phone:413-592-8024
Mailing Address - Fax:
Practice Address - Street 1:17 CONVERSE ST FL 2
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2723
Practice Address - Country:US
Practice Address - Phone:978-387-6067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health