Provider Demographics
NPI:1710622683
Name:AALPHA RESOURCES, LLC
Entity Type:Organization
Organization Name:AALPHA RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARONDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-512-3037
Mailing Address - Street 1:PO BOX 1032
Mailing Address - Street 2:
Mailing Address - City:BOUTTE
Mailing Address - State:LA
Mailing Address - Zip Code:70039-1032
Mailing Address - Country:US
Mailing Address - Phone:985-248-4496
Mailing Address - Fax:800-783-8249
Practice Address - Street 1:13322 HIGHWAY 90 STE K
Practice Address - Street 2:
Practice Address - City:BOUTTE
Practice Address - State:LA
Practice Address - Zip Code:70039-3010
Practice Address - Country:US
Practice Address - Phone:985-248-4496
Practice Address - Fax:800-783-8249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care