Provider Demographics
NPI:1750153896
Name:ALA COMMUNITY SUPPORT
Entity type:Organization
Organization Name:ALA COMMUNITY SUPPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABERA
Authorized Official - Middle Name:DEBELE
Authorized Official - Last Name:DABESSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-640-5123
Mailing Address - Street 1:313 CLOVERLY FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-4171
Mailing Address - Country:US
Mailing Address - Phone:240-640-5123
Mailing Address - Fax:
Practice Address - Street 1:313 CLOVERLY FOREST DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-4171
Practice Address - Country:US
Practice Address - Phone:240-640-5123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health