Provider Demographics
NPI:1841394541
Name:ALPHA OMEGA HEALTH, INC
Entity Type:Organization
Organization Name:ALPHA OMEGA HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QP
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-969-0042
Mailing Address - Street 1:100 EUROPA DRIVE
Mailing Address - Street 2:STE # 555
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517
Mailing Address - Country:US
Mailing Address - Phone:919-969-0042
Mailing Address - Fax:
Practice Address - Street 1:100 EUROPA DRIVE
Practice Address - Street 2:STE # 555
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517
Practice Address - Country:US
Practice Address - Phone:919-969-0042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty