Provider Demographics
NPI:1871189118
Name:ALIA BLAND OTR SERVICES INC
Entity Type:Organization
Organization Name:ALIA BLAND OTR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALIA
Authorized Official - Middle Name:BLAND
Authorized Official - Last Name:EPPS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:240-832-4959
Mailing Address - Street 1:903 JENNINGS MILL DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-6224
Mailing Address - Country:US
Mailing Address - Phone:240-832-4959
Mailing Address - Fax:
Practice Address - Street 1:903 JENNINGS MILL DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-6224
Practice Address - Country:US
Practice Address - Phone:240-832-4959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-20
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health