MEDICARE: ALTERNATIVES2GRO (SELF EMPLOYED)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	44SC05549000	NJ
2	311500000X	Alzheimer Center (Dementia Center)	44SC05549000	NJ
3	311Z00000X	Custodial Care Facility	44S05549000	NJ
4	313M00000X	Nursing Facility/Intermediate Care Facility	44SC05549000	NJ
5	314000000X	Skilled Nursing Facility	44SC05549000	NJ
6	1041C0700X	Clinical Social Worker	CW17337	PA

General Provider Information

NPI Number	:	1992805162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVES2GRO (SELF EMPLOYED)

Provider Business Mailing Address
First Line	:	PO BOX 51521
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34232-0312
Country	:	US
Telephone Number	:	941-549-0221
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 S TAMIAMI TRL STE 202
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-7818
Country	:	US
Telephone Number	:	941-549-0221
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. GERALDINE ELLEN MORGAN
Credential	:	LCSW
Telephone Number	:	941-549-0221

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	04/07/2020

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Directions to “ALTERNATIVES2GRO (SELF EMPLOYED) ” Practice Location

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