| Alpha Homes | |
|
1119 Penzance St Durham NC 27704-1505 | |
| (919) 323-4206 | |
| (919) 323-4206 |
| Full Name | Alpha Homes |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 1119 Penzance St, Durham, North Carolina |
| Authorized Official Name and Position | Andy Nwancha (CEO) |
| Authorized Official Contact | 9193234206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Homes 1119 Penzance St Durham NC 27704-1505 Ph: (919) 323-4206 | Alpha Homes 1119 Penzance St Durham NC 27704-1505 Ph: (919) 323-4206 |
| NPI Number | 1124162466 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124162466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | MLH-032-368 (North Carolina) | Primary |
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