Healthcare Provider Details

I. General information

NPI: 1477737823
Provider Name (Legal Business Name): ALTERNATIVE HEALTH RESOURCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13788 FOOTHILL BLVD STE 6
SYLMAR CA
91342-3376
US

IV. Provider business mailing address

13788 FOOTHILL BLVD SUITE #6
SYLMAR CA
91342-3375
US

V. Phone/Fax

Practice location:
  • Phone: 310-733-7988
  • Fax: 818-362-9400
Mailing address:
  • Phone: 818-362-0818
  • Fax: 818-362-9400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. JENEFER ROBERTS
Title or Position: OWNER
Credential:
Phone: 818-362-2009