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Contact Information

ALPHA SUPPORTED LIVING SERVICES
16030 JUANITA WOODINVILLE WAY NE
BOTHELL, WA98011-5412
 Phone: 206-284-9130
 Fax: 425-420-1133
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for ALPHA SUPPORTED LIVING SERVICES

NPI # 1083031066
LBN Legal business name ALPHA SUPPORTED LIVING SERVICES
Authorized official SCOTT LIVENGOOD - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2014
Last updated 03/27/2014 - About 12 years ago
Identifiers
WA License # 601138481
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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