Alpha Omega Life Care, Inc.
Organization Active NPI Case Management Agency · Delta Junction, AK
NPI 1508071853 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508071853
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- License
- 714589 (AK)
- Legal business name
- ALPHA OMEGA LIFE CARE, INC.
- Practice address
- 2415 Rapids St.
Delta Junction, AK 99737-1009 - Phone
- (907) 895-4104
- Fax
- (907) 895-4143
- NPI assigned
- May 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Kenneth Edward Farrow
- Title
- Executive Director
- Phone
- (907) 895-4104
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Alpha Omega Life Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 714589 | AK | Yes |
Addresses
Primary practice location
2415 Rapids St.
Delta Junction, AK 99737-1009
Mailing address
PO Box 1009
Delta Junction, AK 99737-1009
Phone (907) 895-4104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMG294 | Medicaid | AK |
Other names
- Kenneth E Farrow
Other providers in Delta Junction, AK
- Emmanuel O. Addo
- Alpha Omega Life Care, Inc.
- Alpha Omega Life Care, Inc.
- Alpha Omega Life Care, Inc.
- Alpha Omega Life Care, Inc.
- Alpha Omega Life Care, Inc.
- Alpha Omega Life Care, Inc.
- Paul Charles Anderson
- Raymond Edgar Andreassen
- Arctic Chiropractic Delta
All providers in Delta Junction, AK · Case Management Agency in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.