- Enrollment id
- O20090505000520
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992806343
- Multiple npi flag
- N
- Ccn
- 747269
- Associate id
- 8527116326
- Organization name
- ALLIANCE HOMEHEALTH CARE
- Organization type structure
- PARTNERSHIP
- Proprietary nonprofit
- P
- Address line 1
- 5205 AZTEC DR
- City
- THE COLONY
- State
- TX
- Zip code
- 750562371
- Practice location type
- HHA BRANCH