Provider Demographics
NPI:1770008641
Name:ALDER HOLDINGS LLC
Entity Type:Organization
Organization Name:ALDER HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REPRESENTATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-812-5700
Mailing Address - Street 1:7358 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-5812
Mailing Address - Country:US
Mailing Address - Phone:440-319-6057
Mailing Address - Fax:
Practice Address - Street 1:450 N 1500 W
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-2829
Practice Address - Country:US
Practice Address - Phone:440-812-5700
Practice Address - Fax:440-812-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies