Alpha and Omega Resource Center
Organization Active NPI Developmental Disabilities Clinic/Center · Lutz, FL
NPI 1003314162 · NPPES record last updated Jan 24, 2018
Key facts
- NPI
- 1003314162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- Legal business name
- ALPHA AND OMEGA RESOURCE CENTER
- Practice address
- 15115 19TH Street
Lutz, FL 33559 - Phone
- (813) 971-5929
- NPI assigned
- Jan 24, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. David A Boyd
- Title
- Administrator
- Phone
- (813) 971-5929
National Provider Directory
Locations
15115 N 19th St
Lutz, FL 33549
Phone (813) 971-5929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | Yes | ||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Homemaker |
376J00000X |
Addresses
Primary practice location
15115 19TH Street
Lutz, FL 33559
Mailing address
15115 19TH Street
Lutz, FL 33559
Phone (813) 971-5929
Other providers in Lutz, FL
- Rayford Beauford Allen III
- Rochelle Cruz Allen
- Yvrose Y Almicar I
- Alan Scott Alonso
- Maday A Alonso
- Altavida Obstetrics and Gynecology
- Alternative Approach Holistic Medicine
- Lynette Chris Altierimills
- Alejandro Alvarez
- Jeysi Alvarez
All providers in Lutz, FL · Developmental Disabilities Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.