Healthcare Provider Details

I. General information

NPI: 1659290211
Provider Name (Legal Business Name): FAR OUT ALTERNATIVE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 MAIN ST STE 2
AYER MA
01432-1326
US

IV. Provider business mailing address

18 MAIN ST STE 2
AYER MA
01432-1326
US

V. Phone/Fax

Practice location:
  • Phone: 978-930-1882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMILY ZIELINSKI
Title or Position: OWNER
Credential: NP
Phone: 978-930-1882