Provider Demographics
NPI:1629337134
Name:ALLIANCE FAMILY SERVICES
Entity Type:Organization
Organization Name:ALLIANCE FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAWNDA
Authorized Official - Middle Name:DANESSA
Authorized Official - Last Name:CUFFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-685-8789
Mailing Address - Street 1:15064 CARROLLTON BLVD
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:VA
Mailing Address - Zip Code:23314-3582
Mailing Address - Country:US
Mailing Address - Phone:757-685-8789
Mailing Address - Fax:
Practice Address - Street 1:15064 CARROLLTON BLVD
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:VA
Practice Address - Zip Code:23314-3582
Practice Address - Country:US
Practice Address - Phone:757-685-8789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health