Provider Demographics
NPI:1023107752
Name:ALMA RESPIRATORY SERVICES, LLC
Entity type:Organization
Organization Name:ALMA RESPIRATORY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT PATIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DALLAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:DONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-401-2628
Mailing Address - Street 1:2230 TOWNE LAKE PARKWAY
Mailing Address - Street 2:BLDG 200 STE 100
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-5540
Mailing Address - Country:US
Mailing Address - Phone:727-321-0848
Mailing Address - Fax:
Practice Address - Street 1:4790 WHARF PKWY
Practice Address - Street 2:BLDG F-208 OFFICE C
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561-9614
Practice Address - Country:US
Practice Address - Phone:727-321-0848
Practice Address - Fax:727-328-9452
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DONACO MEDICAL SUPPLY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-12
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113550000Medicaid