Provider Demographics
NPI:1245472976
Name:ALLIANCE HEALTHCARE AND CONSULTING GROUP, LLC
Entity type:Organization
Organization Name:ALLIANCE HEALTHCARE AND CONSULTING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIRECTOR HEALTHCARE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-600-4243
Mailing Address - Street 1:4015 FOREST DRIVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204
Mailing Address - Country:US
Mailing Address - Phone:803-600-4243
Mailing Address - Fax:803-753-4317
Practice Address - Street 1:4015 FOREST DR
Practice Address - Street 2:SUITE 203
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-4350
Practice Address - Country:US
Practice Address - Phone:803-600-4243
Practice Address - Fax:803-753-4317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care