Provider Demographics
NPI:1932234457
Name:ALLIANCE TOTAL CARE, INC.
Entity Type:Organization
Organization Name:ALLIANCE TOTAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:FUSCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-475-2700
Mailing Address - Street 1:1851 MARSH RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4505
Mailing Address - Country:US
Mailing Address - Phone:302-475-2700
Mailing Address - Fax:302-529-7970
Practice Address - Street 1:1851 MARSH RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4505
Practice Address - Country:US
Practice Address - Phone:302-475-2700
Practice Address - Fax:302-529-7970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0005266207Q00000X
DE111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty