Provider Demographics
NPI:1750447090
Name:ALLIANCE HUMAN SERVICES, INC.
Entity Type:Organization
Organization Name:ALLIANCE HUMAN SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE ACCOUNTING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:KLACO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-864-5895
Mailing Address - Street 1:791 WHITE POND DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-4202
Mailing Address - Country:US
Mailing Address - Phone:330-864-5859
Mailing Address - Fax:330-864-5843
Practice Address - Street 1:791 WHITE POND DR
Practice Address - Street 2:SUITE B
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-4202
Practice Address - Country:US
Practice Address - Phone:330-864-5859
Practice Address - Fax:330-864-5843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH30109OtherODJFS PROVIDER NUMBER
OH30182OtherODJFS PROVIDER NUMBER
OH30183OtherODJFS PROVIDER NUMBER
OH03111OtherODJFS PROVIDER NUMBER
OH30110OtherODJFS PROVIDER NUMBER