Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Infusion |
251F00000X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Infusion Therapy |
163WI0500X | |||
Nursing Care |
251J00000X |
| NPI Number | 1114511490 |
| LBN Legal business name | CORAM ALTERNATE SITE SERVICES, INC. |
| Authorized official | TRICIA LACAVICH - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/26/2021 |
| Last updated | 10/19/2022 - About 4 years ago |
| Identifiers | n/a |
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