Healthcare Provider Details

I. General information

NPI: 1235844390
Provider Name (Legal Business Name): ALTERNATIVE CARE SOLUTIONS FL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 01/23/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15310 AMBERLY DR STE 250
TAMPA FL
33647-1642
US

IV. Provider business mailing address

1010 E RUBY CREEK DR
ELLETTSVILLE IN
47429-8214
US

V. Phone/Fax

Practice location:
  • Phone: 812-318-7044
  • Fax:
Mailing address:
  • Phone: 812-318-7044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY NORRIS
Title or Position: OWNER
Credential:
Phone: 812-318-7044