34D2206333 CLIA NUMBER - ALPHA HOME CARE SERVICES INC

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Laboratory Demographics

CLIA Number: 34D2206333

Facility Name: ALPHA HOME CARE SERVICES INC

Facility Address:
3612 CAROLYN DRIVE
RALEIGH, NC
ZIP 27604
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Facility Phone Number: 919 819-3882

Facility Type: Other - MENTAL HEALTH FACILITY

Certificate Type: Waiver

NPI Number: 1770862617

Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

CLIA Record

Field Name	Field Value
CLIA Number	34D2206333
LAB Type	Other - MENTAL HEALTH FACILITY
Facility Name	ALPHA HOME CARE SERVICES INC
Street	3612 CAROLYN DRIVE
City	RALEIGH
State	NC
ZIP	27604
Phone	919 819-3882
CertificateType	4
CertificateEffectiveDate	12/18/2022
CertificateExpirationDate	12/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024