Provider Demographics
NPI:1649477712
Name:ALEGIANT SERVICES
Entity type:Organization
Organization Name:ALEGIANT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COTA
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:NMI
Authorized Official - Last Name:MCGAHEY
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:419-999-5688
Mailing Address - Street 1:1420 WALNUT CT
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-3657
Mailing Address - Country:US
Mailing Address - Phone:419-999-5688
Mailing Address - Fax:
Practice Address - Street 1:1420 WALNUT CT
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-3657
Practice Address - Country:US
Practice Address - Phone:419-999-5688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-30
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA 3169314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility