Provider Demographics
NPI:1568061406
Name:TRUE ALLIANCE HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:TRUE ALLIANCE HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIQUILA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-230-1193
Mailing Address - Street 1:6950 DAKOTA CIR S
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-9064
Mailing Address - Country:US
Mailing Address - Phone:901-230-1193
Mailing Address - Fax:
Practice Address - Street 1:6950 DAKOTA CIR S
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-9064
Practice Address - Country:US
Practice Address - Phone:901-230-1193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health