- Enrollment id
- O20101026001589
- Enrollment state
- MN
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1558542464
- Multiple npi flag
- N
- Ccn
- 248113
- Associate id
- 4688731193
- Organization name
- ALLIANCE HHC & NURSING SERVICES, LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 10405 6TH AVE N
- Address line 2
- STE 105
- City
- PLYMOUTH
- State
- MN
- Zip code
- 554416302