Provider Demographics
NPI:1568802296
Name:ALPHA-OMEGA ALLIANCE INC
Entity Type:Organization
Organization Name:ALPHA-OMEGA ALLIANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:561-201-0232
Mailing Address - Street 1:1349 W 33RD ST
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-2955
Mailing Address - Country:US
Mailing Address - Phone:561-201-0232
Mailing Address - Fax:305-508-4204
Practice Address - Street 1:1349 W 33RD ST
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-2955
Practice Address - Country:US
Practice Address - Phone:561-201-0232
Practice Address - Fax:305-508-4204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management