Provider Demographics
NPI:1013722784
Name:CUNNINGHAM, AL'VALON ALLEN
Entity type:Individual
Prefix:MRS
First Name:AL'VALON
Middle Name:ALLEN
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 HYATT ST
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29341-1558
Mailing Address - Country:US
Mailing Address - Phone:864-376-6697
Mailing Address - Fax:
Practice Address - Street 1:195 HYATT ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-1558
Practice Address - Country:US
Practice Address - Phone:864-376-6697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care