Provider Demographics
NPI:1639412471
Name:ALLIANCE CASE MANAGEMENT SERVICES INC
Entity Type:Organization
Organization Name:ALLIANCE CASE MANAGEMENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIOSKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-895-6355
Mailing Address - Street 1:8359 BEACON BLVD STE 311
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3062
Mailing Address - Country:US
Mailing Address - Phone:239-895-6355
Mailing Address - Fax:
Practice Address - Street 1:8359 BEACON BLVD STE 311
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3062
Practice Address - Country:US
Practice Address - Phone:239-895-6355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management