Provider Demographics
NPI:1811579311
Name:AL HEALTH CARE GROUP INC
Entity Type:Organization
Organization Name:AL HEALTH CARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-371-4697
Mailing Address - Street 1:692 N HOMESTEAD BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-6237
Mailing Address - Country:US
Mailing Address - Phone:786-371-4697
Mailing Address - Fax:
Practice Address - Street 1:692 N HOMESTEAD BLVD STE 106
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-6237
Practice Address - Country:US
Practice Address - Phone:786-371-4697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management