Alco

LBN: Abundant Life Community Outreach, Inc.
Alco is an health care organization with primary practice located at 1508 Gum Branch Rd , Jacksonville NC 28540-5216. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Abundant Life Community Outreach, Inc. can be contacted via phone (910) 455-4572, or through Guion, Sheila A via phone (910) 455-4572.

Contact Information

Primary practice address
1508 Gum Branch Rd Jacksonville NC 28540-5216
Phone: (910) 455-4572
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guion, Sheila A BPSYC
Phone: (910) 455-4572

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1235325275
LBN Legal business name Abundant Life Community Outreach, Inc.
DBA Doing business as Alco
Authorized official Guion, Sheila A BPSYC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2007
Last updated Sep 24th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235325275 NPPES
North Carolina MEDICAID 8700368

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