NPI 1053663906
Coram Alternate Site Services, INC.
Practice location
- Address
- 101 East Silver Springs Blvd, Suite 202, Ocala, FL 34470-6605
- Phone
- (904) 363-3089
- Fax
- (904) 363-2159
- Mailing address
- 555 17th St Suite 1500, Denver, CO 80202-3950
Authorised official
- Name
- Tricia L Lacavich
- Title
- President,secretary and Director
- Phone
- (318) 407-1785
Registered specialties (2)
Home Infusion Agency
Primary
Home Health Agency
Registry record
- NPI
- 1053663906
- Entity type
- Organization
- NPI issued
- 2 Oct 2012
- Record last updated
- 19 Oct 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.