NPI | 1093379083 |
---|---|
Professional Name | ALPHA HOST HOME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-04-25 |
Last Update Date | 2019-04-25 |