OrganizationActive
Alpha Omega Adult Home Care LLC
NPI 1104484856 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Suffolk, VA
Provider details
- NPI number
- 1104484856
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Maxine Long, Chief Executive Officer(757) 438-2340
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
3001 Bay Shore Ln
Suffolk, VA 23435-3175
Phone: (757) 438-2340
Fax: (757) 390-3678
Approximate (ZIP-level) locationGet directions
Mailing address
3001 Bay Shore Ln
Suffolk, VA 23435-3175
Registry dates
- Enumerated
- 2019-05-29
- Last updated
- 2019-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.