Provider Demographics
NPI:1689245193
Name:ALLIANCE HEALTHCARE AND STAFFING SOLUTIONS INC
Entity Type:Organization
Organization Name:ALLIANCE HEALTHCARE AND STAFFING SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABISOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFAI-ABASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-518-0320
Mailing Address - Street 1:1123 MD RT 3 N
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1715
Mailing Address - Country:US
Mailing Address - Phone:301-793-1942
Mailing Address - Fax:
Practice Address - Street 1:1123 MD RT 3 N # 293
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-1715
Practice Address - Country:US
Practice Address - Phone:301-793-1942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1982912325Medicaid