Provider Demographics
NPI:1902294838
Name:HEALTHCARE ALLIANCES
Entity Type:Organization
Organization Name:HEALTHCARE ALLIANCES
Other - Org Name:MILK N MAMAS BABY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:L
Authorized Official - Last Name:NOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-645-5666
Mailing Address - Street 1:123 N MAIN ST STE 102D
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18917-2107
Mailing Address - Country:US
Mailing Address - Phone:844-645-5666
Mailing Address - Fax:
Practice Address - Street 1:11075 S. 214TH ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-4877
Practice Address - Country:US
Practice Address - Phone:844-645-5666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHCARE ALLIANCES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA86377166332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies