Provider Demographics
NPI:1134890619
Name:ALLIANCE CASE MANAGEMENT LLC.
Entity type:Organization
Organization Name:ALLIANCE CASE MANAGEMENT LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-459-2408
Mailing Address - Street 1:10682 TWO NOTCH RD APT 5106
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-0016
Mailing Address - Country:US
Mailing Address - Phone:803-459-2408
Mailing Address - Fax:
Practice Address - Street 1:117 ALPINE CIR STE 600-E
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6523
Practice Address - Country:US
Practice Address - Phone:803-459-2408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management