Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X |
| NPI Number | 1134184559 |
||||
| LBN Legal business name | ALPHA WOUND CARE,LLC | ||||
| Authorized official | SUSAN KENNERLY - (VICE PRESIDENT OF OPERATIONS) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/19/2006 | ||||
| Last updated | 10/12/2007 - About 19 years ago | ||||
| Identifiers |
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