Provider Demographics
NPI:1598543217
Name:THE ALLIANCE OF DIVINE LOVE, INC NO 1768 HEALING FOR LIFE
Entity Type:Organization
Organization Name:THE ALLIANCE OF DIVINE LOVE, INC NO 1768 HEALING FOR LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:ENZO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:NSMD
Authorized Official - Phone:631-820-1881
Mailing Address - Street 1:7 PAR CT
Mailing Address - Street 2:
Mailing Address - City:WADING RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:11792-3600
Mailing Address - Country:US
Mailing Address - Phone:631-820-1881
Mailing Address - Fax:
Practice Address - Street 1:7 PAR CT
Practice Address - Street 2:
Practice Address - City:WADING RIVER
Practice Address - State:NY
Practice Address - Zip Code:11792-3600
Practice Address - Country:US
Practice Address - Phone:631-820-1881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution
No251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care